Fields marked with an asterisk (*) are required. Please include the Name & Office of each official being registered to attend: Remove Person What is this person? Official Spouse Guest First Name * Last Name * Position/Officer Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Town County Years of Service Been recognized in the past 3 years? No Yes Options Is this for a Single Day? No Yes Days Monday Tuesday # of Guest or Spouse Add Person
