2020 LPNC Convention Pre-registration

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2020 LPNC Convention Pre-registration

Pre-registration form for the LPNC 2020 Convention

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* Indicates required question

Email *

Your email

Name *

Your answer

Address *

Your answer

County *

Your answer

phone

Your answer

Interest in becoming a delegate to the national convention *

Committed (if at all possible)

Interested (if circumstances allow)

Not able/willing to serve as delegate

Other:

Interest in serving as an Elector

Yes

No

I don't really understand what this is about

Clear selection

Send me a copy of my responses.

Submit

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