Check the boxes below to indicate YES!
First name:
Last name:
Address 1:
Address 2:
City:
State:
ZIP:
E-mail:
Congressional District ? :
Are you currently involved with an LPFM?
Are you a part of an organization that wants an LPFM?
Why do you want an LPFM station?
Have you attended LPFM Leadership Day in the past?
Here is a rough outline of events:
Can you attend all of the events? Yes No
If not, check the events you will be coming to.
Thursday, April 23 10am-11am Action & Press Conference 11:30- 5pm: Lobby Visits 6pm-Dinner
Friday, April 24 10am-noon: FCC visits noon-5pm: next steps, strategy session 9pm- Low Power to the People! Hip-hop show and Dance party!
How will you be coming to DC?
If you have a car, would you be willing to use it to help transport people around DC, if necessary?
We have tons of floor space at a church in DC (must bring your own sleeping bag). We have also made other arrangements for beds in a shared dorm-room, for those who cannot sleep on the floor. Some people will also be making their own arrangement to stay at friends' houses or in hotels.
Do you need us to find you housing?
Will the floor space work for you?
Do you have any other needs that we should know about?
Do you have any food allergies?
Are you vegetarian or vegan
We have a very small budget to help cover some travel costs for attending LPFM Leadership Day. Is this something that you need?
Will you be able to make a donation to help cover the costs of LPFM Leadership days? (We recommend a donation of $50 to help cover the cost of one person attending the Leadership days.)