Obamacon 2012 Registration Form

Honolulu, November, 2010: Obamacon 2012

Third National Conference on Barack Obama's Missing Birth Certificate, College Records and Religion, November 9-16, 2010 Honolulu

Sponsors:
www.ThePostEMail.com
www.ContrarianCommentary.com
www.StopObamaCoalition.com
www.CommitteeofOneMilliontoDefeatBarackObama.com

Honolulu 2010 blog for Obamacon 2012:
www.NationalConferenceonObama.blogspot.com

EMAIL: contact@StopObamaCoalition.com

CONFERENCE REGISTRATION FORM

PLEASE ENCLOSE A COPY OF A PHOTO ID WITH THIS REGISTRATION FORM.

We will notify you of the conference location by e-mail.

You can also follow developments on our blog.

NAME:


ADDRESS:

Street:

City, State, Zip

E-MAIL ADDRESS:


ANYTHING SPECIAL WE SHOULD KNOW?

I CONSENT TO A BACKGROUND CHECK OF MY IDENTITY (TO EXCLUDE POSSIBLE OBAMABOTS) (Please sign below)


__________________________
(please sign)

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Registration $50

Please note: there will not be any “at the door” registration

Although the conference is in Honolulu, registrations will be processed in advance in New York.

PLEASE MAKE CHECK PAYABLE TO: COMMITTEE OF ONE MILLION

PLEASE MAIL CHECK, COPY OF PHOTO ID AND SIGNED REGISTRATION FORM TO:

Andy Martin
Executive Director
Committee of One Million
P. O. Box 1851
New York, NY 10150-1861
(to arrive before November 8th)

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I CAN’T ATTEND BUT HERE IS MY CONTRIBUTION TO HELP MAKE Obamacon 2012 A SUCCESS: $ ___

DONATE ONLINE AT:
www.CommitteeofOneMilliontoDefeatBarackObama.com


(Please fill in the registration information above)