The Power to Make Decisions
Third Annual Convention of the
Rhode Island Disability Vote Project
Wednesday, June 24th 2009
Crowne Plaza Hotel
801 Greenwich Ave., Warwick, RI
9:30 am - 2:30 pm
Registration Form (Please make copies!)
Yes! I will attend! _√_
My organization __________________is a member of the
RIDVP so there is no cost for me to attend.
My organization _________________ is not a member of
the RIDVP and I am including $25 with this
registration form (checks made to CPN-RI)._________
I am low income and am requesting to waive my
registration fee. _______
Name______________________________________________ Address____________________________________________
City____________________State________Zip____________
Telephone__________________Email___________________
The deadline to register is Friday, June 12. Registrations must be mailed to RIDVP C/O CPN-RI, 1130 Ten Rod Road Ste C-104, North Kingstown, RI 02852, or emailed to ridvp@ridvp.org.
Continental breakfast and lunch will be provided.
ASL interpreters and CART service have been requested. Please call or email Jean Lawlor at (401) 295-5757 extension 15 or ridvp@ridvp.org if you have any questions or additional accommodation requests.