PCRP Convention – Candidates

About the Pierce County Republican Party Convention
2016 Convention – Saturday, April 9th
Showplex at the Washington State Fair Events Center, 110 9th Avenue SW Puyallup, 98371
Check-in/Registration starts at 7:30 am with Program at 9:00 am

Candidate Registration Form

Candidate table including Candidate and 1 assistant is $150
Each additional assistant is $40 each
Candidate without table is $40
Light Continental Breakfast and Lunch included.

  First Name (required)
  Last Name (required)
  Your Street Address (required)        City and Zip Code (required)     
  Your Email Address (required)        Your Phone Number (required)     

                     
Assistant's Full Name      
Office you are running for  

Employment

Washington’s Public Disclosure Commission requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer for individuals whose contributions exceed $100 in a calendar year. This information is needed if you haven't provided it to us previously.

  Occupation:  
  Employer:         Employer's Address: