Contra Costa Council & the Bay Area Council Present
10th Congressional District Candidates Forum Co-host
Chevron Sponsors
AAA Northern CA, NV & UT Mechanic’s Bank Safeway Moderated by Lisa Vorderbrueggen, Political Editor, Contra Costa Times Friday, August 7, 2009—7:30 to 9:30 AM
Registration Deadline, Monday, August 3, 2009 Members $35, Non-members $45
Crowne Plaza Hotel 45 John Glenn Drive, Concord Register at: WWW.ContraCostaCouncil.com
FAX TO: 925.674.1654 th
Registration Form
10 Congressional District Candidates Forum Friday, August 7, 2009 7:30 AM – 9:30 AM Reservations and payment required by August 3, 2009 FAX or mail reservation form with payment to the address below with check, Visa/MasterCard/American Express information to: 925.674.1654. SORRY, NO CANCELLATIONS ACCEPTED, but substitutions are allowed!
Members and Elected Officials: $35 • Non-Members: $45 ******************************************************************************** Name(s)__________________________Email __________________________________ Name(s)__________________________Email __________________________________ Company ____________________________Telephone __________________________
! Council Member or ! Non-Member Please make reservations for ______ people. Total Amount Due $ ___________
! Visa ! MasterCard ! American Express Card #_____________________________________ Expiration Date_________________ Authorized Signature ________________________________________________________________________
FAX TO: 925.674.1654
Mail to: Contra Costa Council " 1355 Willow Way, #253 Concord, CA 94520-5755