Children's Defense Fund

1.Your Information

2.Event Information

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Host Information

Your contact information is not shown to attendees; it is only used by our organization. Note that if you send email to your attendees, however, they will see your email address.

Name:

Title	First Required	Middle Required	Last Required	Suffix

Email: Required

Street 1:

Street 2:

Street 3:

City/State/ZIP:

City	State	ZIP

Country:

Phone Number:

Yes, I would like to receive e-mail from Children's Defense Fund including advocacy alerts and event information.

Yes, I would like to receive postal mail from Children's Defense Fund

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Web Site Access

Enter a user name and password that you can use to log in to our Web site. When you log in, you will be able to access your Host Center where you can invite guests, customize your Event Page, and monitor attendance.

*	User Name: Required	5 to 60 characters
*	Password: Required	12 to 99 characters
*	Repeat Password: Required