Legislative Breakfast

Take advantage of this prime opportunity to talk personally with your own legislators about the issues that concern you! Our professions need your support to make legislators aware of our position on many key issues. Don't miss out!

Complete the form below. Requests for refunds must be received by April 16, 2010 and no refunds will be considered after that date. Please contact your Representative and Senator to ensure that they attend. Bring your business card and program brochure to share with them.

Consider sponsoring a Legislator's Breakfast. Just include an additional $25 with your payment to help offset the cost of the Legislators' Breakfasts. Thank you!

Thank you for your support!

Sponsored by:
Ohio Speech and Hearing Governmental Affairs Coalition (OSHGAC)

OSHGAC Member Organizations:
Ohio Speech-Language-Hearing Association (OSLHA)
Ohio Academy of Audiology (OAA)
Ohio Council of Speech and Hearing Administrators (OCSHA)
Ohio School Speech Pathology and Educational Audiology Coalition (OSSPEAC)

Payment Must Accompany This Reservation Form For

LEGISLATIVE BREAKFAST

Tab to each section - DO NOT press "Enter"

Name:
Home Address:
City / State / Zip: City: State:  Zip:+4
E-Mail Address:
County   -  Home:
Phone:   
 
Your Legislators' Names: 
Your Representative in the House: Representative:

Not Sure?   Go to:    
http://www.legislature.state.oh.us/
 

or contact your County Board of Elections, or 
we are happy to complete this section for you. 

Your Senator: Senator:

Not sure?  Go To:  
http://www.legislature.state.oh.us/

 

or contact your County Board of Elections, 
or we are happy to complete this section for you.

Registration:   YES, Please Register me for the Legislative Breakfast
Consider sponsoring a Legislator's Breakfast.  Just include an additional $25 with your payment to help offset the cost of the Legislators' Breakfasts. 
Thank you!
   I would also like to sponsor a Breakfast for a Legislator.  Please add an additional $25 to my payment amount.
Comments/Note: 

Click "Continue" to submit your Legislative Breakfast Reservation, with payment information, to OSLHA Business Office for processing. 

Thank you!

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