VALUES VOTER SUMMIT

ARE YOU FREE TO BELIEVE?
Find out what happened to those who stood for biblical marriage
Benham
Brothers
Melissa and Aaron Klein
Kelvin Cochran
JOIN US SEPTEMBER 25-27, 2015
OMNI SHOREHAM HOTEL
WASHINGTON, DC
$119 REGISTRATION $50 STUDENTS
Scholarships Available
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CONFIRMED* AND INVITED SPEAKERS INCLUDE
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Gov. Greg Abbott
Naghmeh Abedini*
Glenn Beck
The Benham Brothers*
Dr. Bill Bennett*
Gov. Sam Brownback
Gov. Jeb Bush
Dr. Ben Carson*
Sen. Ted Cruz*
Sen. Joni Ernst
Gov. Mary Fallin
Brigitte Gabriel*
Rep. Louie Gohmert*
Sean Hannity
Gov. Mike Huckabee
Gov. Bobby Jindal
Gov. John Kasich
Megyn Kelly
Sen. Mike Lee
Mark Levin
Rep. Mia Love
Lt. Col. Oliver North*
Star Parker*
Sen. Rand Paul
Gov. Rick Perry
Dennis Prager
Phil Robertson
Sen. Marco Rubio
Sen. Rick Santorum
Col. Allen West
Dynamic Breakouts H Celebrity Book Signings H Exhibits H Student Mixer & Breakout
III H
H Faith, Family & Freedom Gala
Honoring L. Brent Bozell,
Founder & President, Media Research Center, with the Vision
New Media Row Sponsored by
and Leadership Award
Job Fair Sponsored by
2015 SPONSORS
American Values, Liberty Institute, Ohio Christian University, Media Research Center, Leadership Institute and FRC are sponsors only of the educational portions of Values Voter Summit.
These organizations are not sponsoring the appearance of any candidate for public office, nor do they support or oppose any candidate for elective public office.
September 25-27, 2015 H Omni Shoreham Hotel H Washington, DC
REGISTRATION INFORMATION
I would like to register for the following package (please check):
o VALUES VOTER PACKAGE ($119/per person)—Includes Three-day Summit and Exhibits Pass. Meals not included
(day of registration $149)
QTY TOTAL
___ @ $119= ______
o PATRIOT PACKAGE ($219/per person)—Includes Three-day Summit and Exhibits Pass and Saturday’s Faith, Family and Freedom Gala
___ @ $219= ______
o FOUNDER’S PACKAGE ($595/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s VIP Reception, Faith, Family and
___ @ $595= ______
o STUDENT PACKAGE ($145/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s Faith, Family and Freedom Gala Dinner
___ @ $145= ______
Dinner honoring Brent Bozell, Founder & President, Media Research Center (black-tie optional)
Freedom Gala Dinner honoring Brent Bozell, Founder & President, Media Research Center (black-tie optional) and all Friday and Saturday Sponsor Meals
honoring Brent Bozell, Founder & President, Media Research Center (black-tie optional)
Daily Summit passes, meal, reception, and gala tickets are available. To purchase à la carte tickets for
the Summit events, please check your choice(s) below (You must purchase a Summit pass to be eligible for other individual tickets.):
o
o
o
o
o
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o
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Friday Summit and Exhibits Pass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ___ @ $75= _______
Friday Breakfast Sponsored by Ohio Christian University (Speakers—The Benham Brothers, Kelvin Cochran) . . . . . . . . . . . . . . . ___ @ $25= _______
Friday Luncheon Sponsored by AFA Action (Speakers—Baronnelle Stutzman,Tim Wildmon) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ___ @ $40= _______
Saturday Summit and Exhibits Pass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ___ @ $75= _______
Saturday Breakfast Sponsored by Liberty Institute (Speaker—Kelly Shackelford, President) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ___ @ $25= _______
Saturday Luncheon Sponsored by American Values (Speaker—Gary Bauer, President) . . . . . . . . . . . . . . . . . . . . . . . . . ___ @ $40= _______
Saturday Evening VIP Reception . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ___ @$250 = _______
Saturday Evening Faith, Family and Freedom Gala Dinner (black-tie optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ___ @$125 = _______
Student Summit and Exhibits Pass (must be 21 years of age or under and present a valid student ID upon check-in) . . . . . . . . ___ @ $50= _______
I agree that a portion of my registration fee may be
credited toward membership in FRC Action, which
allows me the benefits listed at www.frcaction.org.
TOTAL
PAYMENT INFORMATION (payments are not tax deductible)
Enclosed is my check # _______ made payable to FRC Action
Please charge my
Visa
Mastercard
Discover
American Express credit card for $__________________
Cardholder’s Name _________________________________________________________________________________
Credit Card Number_______________________________________________Exp. Date ____________CID___________
Cardholder’s Signature _______________________________________________________________________________
HOTEL INFORMATION – Rooms are available at the Omni Shoreham Hotel for a discounted group rate of $209 single/ $214 double.
Please call 1-800-The Omni (800-843-6664) to reserve your room or you may register on-line at valuesvotersummit.org. You must mention
FRC Action Values Voter Summit or promo code 12400612280 to receive the discounted rate (rooms are limited and are available
on a first-come, first-served basis). Your credit card will be charged on the day of arrival. You must also cancel 48 hours prior to
arrival to avoid room cancellation penalty. HOTEL RESERVATIONS DEADLINE: SEPTEMBER 1.
PERSONAL INFORMATION (please print clearly):
Name________________________________________________________ Title _______________________________
Name of Spouse/Guest (if attending)_______________________________________________________________
Organization Name ___________________________________________________________________________
Mailing Address _______________________________________________________________________________
City_____________________________________________ State ____________Zip______________
Daytime Phone _________________________________ Cell Phone ____________________________________
Email ________________________________________ Church_______________________________________
FL15C01
15B02I
No refunds after August 21 H Register ON-LINE at valuesvotersummit.org H CALL 1-877-372-2808 H FAX 616-394-5254
FRC Action • PO Box 2279 • Holland, MI 49422-2279