Registration Online

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone 1

Phone 2

Email Address

Are you a member of the LWV of Alabama?

If member of a Local League, which one?

What is your status at the council?

Do you plan to attend the pre-council dinner on Friday night?

Dinner on Friday night is provided by host LWV of Greater Birmingham. There is no charge, but we do need a headcount. Thanks!

Are you bringing a guest to the pre-council dinner on Friday night?

If bringing a guest, please tell us your guest's name for the name tag.

I am registering for...

Council and Lunch - $25 - Council meeting with lunch. Includes printed program.
Lunch Only - $15 - Not attending Council meeting. Does not include printed program
Council Only - $10 - Does not include lunch. Includes printed program.

Please note that your registration is not complete until we receive your registration fee. Thank you!

If you are having lunch, do you prefer a vegetarian meal?

Message

Let us know if questions, comments, or problems.