In order to secure our place on the Capitol Grounds in Olympia, WA we need to provide the Capitol Facilities with an accurate accounting of the anticipated number of event attendees.

Please plan to take a stand with us on the state capitol grounds. We all need to get involved.

Please fill out the form below and indicate your involvement.

In order to provide an accurate count, please enter each name in your party separately

First Name:	Last Name:
Address 1:	Address 2:
City	State:Zip Code:
	Alaska Alabama Arkansas Arizona California Colorado Connecticut DC Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
Phone Number:	Email:
How Many Will Attend?	Are You A Pastor?
	Yes
Church Name: