Page 27 - CALIFORNIA WOMAN - WINTER EDITION 2022
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CALIFORNIA FEDERATION of BUSINESS & PROFESSIONAL WOMEN
rd
Winter Board of Directors and 63 Annual Public Policy Conference
February 24-25, 2023 – Hilton Arden West, Sacramento CA
CFBPW REGISTRATION FORM
Please note: You will be registering for each meeting separately
PLEASE PRINT ALL INFORMATION – Please, one form for each person attending
NAME: ____________________________________________ Club: ________________________________
ADDRESS: _________________________________________ DISTRICT: _________________________
CITY: _____________________________________________ ZIP: _______________________________
HOME PHONE ______________________________________ WORK PHONE _______________________
E-MAIL ______________________________ __________________________________________________
__ I will be attending via Zoom and understand the Registration Fees below apply to Zoom participation as well
as in-person.
February 24, 2023 - Winter Board of Directors Registration
2022-2023 STATE POSITION: (Select Only One)
_____ State Officer _____ Standing Chair _____ Member
__ Past State President Special Chair First Timer
_____ District President/Alternate _____ District Representative _____ Guest
REGISTRATION:
Board Meeting - Received by February 14, 2023 $ 20 $ _________
Friday Lunch – Mixed Green Salad, Butternut Squash Ravioli, Carrot Cake $ 50 $ _________
ANY Registration Received after 2/14/23 ADD $10 $ 10 $ _________
TOTAL AMOUNT FOR BOARD REGISTRATION $ __________
rd
February 25, 2023 – 63 Public Policy Conference Registration
Those not a member of CFBPW should use the special form available online.
2022-2023 CFBPW PUBLIC POLICY COMMITTEE POSITION:
___ PUBLIC POLICY CO-CHAIR ___ DISTRICT PUBLIC POLICY CHAIR ___ PARLIAMENTARIAN
___
___SCREENING COMMITTEE
REGISTRATION:
Public Policy Meeting Postmarked by February 14, 2023 $ 25 $ _________
Saturday Lunch – SW Green Salad, Asparagus Pasta, Ultimate Chocolate Cake $ 50 $ _________
ANY Registration Postmarked after 2/14/23 ADD $ 10 $ _________
TOTAL AMOUNT FOR PUBLIC POLICY REGISTRATION $ _________
TOTAL AMOUNT ENCLOSED – PLEASE MAKE CHECK PAYABLE TO: CFBPW $_________
We apologize for the meal costs, but things are not priced liked they were pre-COVID and supply chain issues.
MAIL CHECK MADE PAYABLE TO CFBPW AND THIS FORM TO: PHONE/FAX NUMBER:
Katherine Winans – CFBPW Registration 775 267 0539
1171 Chaparral Court, Minden NV 89423
YOU MAY PAY USING ZELLE. SET THIS UP THROUGH YOUR BANK ONLINE. NO FEES CHARGED.
SEND THROUGH ZELLE USING THIS EMAIL: bpwvsd@gmail.com
With Zelle payments you still need to mail or email the registration form as above.
SPECIAL REQUIREMENTS:
__If you have a disability and require accommodation to fully participate in this activity, please check here.
You will be contacted to discuss your specific needs.
__If you have dietary restrictions, please let us know:
