this completed form

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LUNCH
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LEGISLATION
Wednesday, April 19, 2017
Riverside Convention Center
3637 5th Street, Riverside, CA 92501
11:30 AM | Check-In
12:00 PM | Luncheon & Program
Tickets Available Now
$35 | Individual
Three Easy Ways to RSVP
1 | Fax this completed form to: (951) 683-2670
2 | Register online: www.riverside-chamber.com
3 | Email: [email protected]
Name: ___________________________________
Business: _________________________________
Address: __________________________________
Phone: ___________________________________
Email: ____________________________________
Payment Method
Make checks payable to: “GRCC”
Credit Card # ___________________ Exp: ___/___
Featuring
Billing Address:_______________ Zip:__________
California
Secretary of State
*Please note: Any cancellations must be made 72hours prior to the event or will be non-refundable
Signature: ________________________________
Send your completed registration form to:
Andrew Sall
3985 University Ave. Riverside, CA 92501
[email protected]
(951) 683-7100 ext. 220
Alex Padilla
Discussing
The State of California
Politics in 2017