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2016 SPONSORS

American Values, Bott Radio Network, First Liberty Institute, FRC, Media Research Center and The D. James Kennedy Center for Christian Statesmanship 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.

Gov. Bobby Jindal

Dr. Bill Bennett

Sen. Mike LeeSen. James Lankford

Franklin Graham

Mark Levin

Glenn Beck The Benham Brothers* Brigitte GabrielKirk CameronRyan Bomberger*

Sen. Marco Rubio Sen. Tim ScottLt. Col. Oliver NorthChaplain Wes ModderMichelle Malkin

Dana Loesch

Erick Erickson*

Star Parker*

CONFIRMED* AND INVITED SPEAKERS INCLUDE

Alan Robertson*

Sen. Ted Cruz

Sean Hannity

Todd Starnes

Media Row Sponsored by Radio Row Sponsored by

Laura IngrahamHouston 5 PastorsMary Katharine HamGov. Nikki Haley

Speaker Paul Ryan Donald Trump

VALUESVOTERSUMMIT.ORG H 1-877-372-2808

SEPTEMBER 9-11H2016OMNI SHOREHAM HOTEL H WASHINGTON, DC

Lt. Gen. William Boykin*

PREPARE FOR CHANGE

Scholarships Available

$50 STUDENTS(UNTIL APRIL 29)

$99 EARLY BIRD REGISTRATION

H

Informative Breakouts H Exhibits H Student Mixer H Book Signings H Faith, Family & Freedom Gala

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)

o PATRIOT PACKAGE ($219/per person)—Includes Three-day Summit and Exhibits Pass and Saturday’s Faith, Family and Freedom Gala Dinner (black-tie optional)

o FOUNDER’S PACKAGE ($649/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s VIP Reception, Faith, Family and Freedom Gala Dinner (black-tie optional) and all Friday and Saturday Sponsor Meals

o STUDENT PACKAGE ($145/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s Faith, Family and Freedom Gala Dinner (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 Friday Summit and Exhibits Pass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Friday Breakfast Sponsored by United in Purpose (Speakers—George Barna* and David Barton*) . . . . . . . . . . . . . . . . . . . . . . . .

o Friday Luncheon Sponsored by AFA Action (Speakers—Coach Joe Kennedy* and Tim Wildmon*) . . . . . . . . . . . . . . . . . . . . . . . . .

o Friday “Center for the Christian Statesman of the Year” Award Dinner Sponsored by The D. James Kennedy Center for Christian Statesmanship (Speakers: The Honorable John Hostettler*, Senator James Lankford; Dr. John Sorensen*) . . . . . . . . . . . .

o Saturday Summit and Exhibits Pass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Saturday Breakfast Sponsored by First Liberty Institute (Speakers—Coach Joe Kennedy*, Aaron and Melissa Klein*, Kelly Shackelford*) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Saturday Luncheon Sponsored by American Values (Speaker—Gary Bauer*) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Saturday Evening VIP Reception . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Saturday Evening Faith, Family and Freedom Gala Dinner (black-tie optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Student Summit and Exhibits Pass (must be 21 years of age or under and present a valid student ID upon check-in) . . . . . . . .

QTY TOTAL

___ @ $119 = ______

___ @ $145 = ______

___ @ $649 = ______

___ @ $219 = ______

REGISTRATION INFORMATION

September 9-11, 2016 H Omni Shoreham Hotel H Washington, DC

FL15C0115B02I

No refunds after August 9 H Register ON-LINE at valuesvotersummit.org H CALL 1-877-372-2808 H FAX 616-394-5254FRC Action • PO Box 2279 • Holland, MI 49422-2279

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

Package and/or individual tickets Sub Total

(Deduct $20 per person before April 29) Early Bird DiscountApplies only to the Values Voter, Patriot, and Founder’s Packages

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 $214 single / $219 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 12400612287 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: AUGUST 15.

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 _____________________________________

___ @ $75 = ______

___ @ $25 = ______

___ @ $40 = ______

___ @ $60 = ______

___ @ $75 = ______

___ @ $25 = ______

___ @ $40 = ______

___ @ $250 = ______

___ @ $125 = ______

___ @ $50 = ______

_______________

_______________

FL16B02 16B02I