“Liberty Liftoff!” 2003 MoLP Convention Registration Form

Name: _____________________________________

Address: ___________________________________

City, State & Zip code _________________________

e-mail Address:  ______________________________

To receive these discounted prices, reservations must be postmarked on or before May 1, 2003.

Check all boxes that apply:

Gold package $95 ($40 for full time college or high school students)

Saturday, June 7, Lunch and Banquet, ALL speakers, ALL workshops, 3 ring binder with Agenda, Executive Committee report, copies of the newest 4 color brochures, Libertarian Viewpoint, World’s Smallest Political Quiz, numbered chance for the door prize.

Silver package $50 and is for the Saturday, June 7, Banquet and Banquet speaker only. ($20 for full time college or high school students)

Bronze package (Morning). Covers all Saturday morning, June 7 speakers and workshops up to and including Lunch. $45 ($20 for students)

Bronze package (Afternoon) includes Saturday, June 7, Lunch and all of the afternoon speakers and workshops. $45 ($20 for students)

Optional - Check all boxes that apply:

The Friday, June 6, evening social “Come and meet the speakers” is free and open to the public but we would like an estimate of the number of attendees.

The State Committee meeting is Sunday morning, June 8, and is open to all Missouri Libertarian Party members at no charge but we would like an estimate of the number of attendees.

Earmark your Donations by checking any of the boxes and indicating how much of your donation that you want for each item.

$_____ Towards the $850 needed for a 4.25” X 2” display ad in 196 Missouri newspapers (circulation 1,002,329)

(Kevin, Space permitting, could you print the display ad you created, here?)

$_____ Towards defraying the cost of this speaker: Michael Tanner of CATO

$_____ Towards defraying the cost of this speaker: George Getz of LP News

$_____ Towards defraying the cost of this speaker: Jim Lark, past Nat’l LP Chair

$20 for a scholarship for a fulltime High School or college to attend

_____ All mornings sessions and lunch, or

_____ Lunch and ALL afternoon Sessions or

_____ Banquet and banquet speaker only

$40 for a scholarship for a fulltime High School or college to attend both meals and ALL sessions.

Donors of $25 or more will receive a copy of the 3 ring binder of Convention materials by mail if they cannot attend.

Note: all profit from the 2003 convention will go to the Missouri Libertarian Party earmarked for advertising the following 2004 Missouri LP Convention.

Mail to:

MoLP Convention

c/o Lisa F. Schaper

5036 So. Grand Blvd.

St. Louis, Mo. 63111-1612

You will receive a receipt, a map to the convention site, and agenda by return mail.

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