Confirmed* and Invited Speakers Include:

Lou DobbsRep. Michele Bachmann

$99 RegistrationStudents $50 Scholarships Available

Register On-Line: www.valuesvotersummit.org or call 1-877-372-2808

FL09C01

Glenn Beck Rep. Roy Blunt*Stephen Baldwin* Rep. Eric Cantor* Sen. Jim DeMint

Gov. Tim Pawlenty*

Rush LimbaughGov. Bobby JindalGov. Mike Huckabee*Sean Hannity Bill O’Reilly

Ben SteinGov. Mitt Romney Joel Rosenberg*

Gov. Sarah Palin Star Parker*

Rep. Mike Pence*

The Legislative Action Arm of Family Research Council Sponsors:American Family Association* • American Values* • Focus on the Family Action

Family Research Council* • The Heritage Foundation* *AFA, American Values, FRC and Heritage are sponsors of the 501(c)(3) segments only

September 18-20, 2009 Omni Shoreham Hotel H Washington, DC

Ed Meese*

Gov. Rick Perry* Phyllis Schlafly*

Rep. John Boehner*

Carrie Prejean

PLUS Book Signings H Exhibits H New Media Row Sponsored by

H Sessions: Obamacare: Rationing Your Life Away • Defunding Planned Parenthood • Thugocracy—Fighting the Vast Left Wing Conspiracy • Speechless—Silencing the Christians • The Threat of Illegal Immigration • Activism and Conservatism: Fit to a Tea (Party) and more!

S a t u r d a y G a l a

D i n n e r H o n o r i n g

P h y l l i s S c h l a f l yw i t h t h e

J a m e s C . D o b s o n

V i s i o n & L e a d e r s h i pA w a r d

Friday Evening Missile Defense Documentary and Discussion

Rise to the Challenge, Rally to the Cause!

Champion Life • Protect Marriage • Guard Religious Freedom Limit Government • Secure Our Homeland • Answer the Left

2012 Presidential Straw Poll

Registration Deadline: September 1 H *No refunds after August 14H Register ON-LINE at www.valuesvotersummit.org H CALL 1-877-372-2808 H FAX 616-394-5254

September 18-20, 2009 H Omni Shoreham Hotel H Washington, DC

I would like to register for the following package (please check): o VALUES VOTER PACKAGE ($99/per person)—Includes Three-day Summit and Exhibits Pass. Meals not included

o PATRIOT PACKAGE ($200/per person)—Includes Three-day Summit and Exhibits Pass and Saturday’s Faith, Family and Freedom Gala Dinner Honoring Phyllis Schlafly (black-tie optional)

o FOUNDER’S PACKAGE ($550/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s VIP Reception, Faith, Family and Freedom Gala Dinner Honoring Phyllis Schlafly (black-tie optional) and all Friday and Saturday sponsored meals

o STUDENT PACKAGE ($145/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s Faith, Family and Freedom Gala Dinner Honoring Phyllis Schlafly (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 American Values (Speaker—Gary Bauer, President) . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Friday Luncheon Sponsored by Focus on the Family Action (Grassroots Action Awards Luncheon). . . . . . . . . . . . . . . . . . .

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

o Saturday Breakfast Sponsored by The Heritage Foundation (Topic: A Conservative Vision of Social Justice) . . . . . . . . .

o Saturday Luncheon Sponsored by American Family Association (Speaker—Don Wildmon, Chairman). . . . . . . . . . . . . . .

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

o Saturday Evening Faith, Family and Freedom Gala Dinner Honoring Phyllis Schlafly (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

___ @ $99 = ______

___ @ $145 = ______

___ @ $550 = ______

___ @ $200 = ______

PAYMENT INFORMATION (payments are not tax deductible)

Enclosed is my check # _______ made payable to FRC Action

Please charge my Visa Mastercard Discover credit card for $_______________________

Cardholder’s Name ____________________________________________________________________________

Credit Card Number______________________________________________________Exp. Date ____________

Cardholder’s Signature _________________________________________________________________________

HOTEL INFORMATION – Rooms are available at the Omni Shoreham Hotel for a discounted group rate of $199. Please call 1-800-The Omni (800-843-6664) to reserve your room or you may register on-line at www.valuesvotersummit.org. You must mention FRC Action Values Voter Summit 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 14

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_________________________________________09BR2I

REGISTRATION INFORMATION

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.

___ @ $75 = ______

___ @ $20 = ______

___ @ $35 = ______

___ @ $75 = ______

___ @ $20 = ______

___ @ $35 = ______

___ @ $250 = ______

___ @ $125 = ______

___ @ $50 = ______

Package and/or individual tickets TOTAL