To complete your registration, you must complete this three page form, and at least pay the daily registration fee in advance, on the site of our credit card processor.<p>Use control-click to choose multiple caucuses or committees<p><script type="text/javascript"><!-- hide from old browsers
function validate_RegistrationForm (form) {
    var alertstr = '';
    var invalid  = 0;

    // fname: standard text, hidden, password, or textarea box
    var fname = form.elements['fname'].value;
    if (fname == null || ! fname.match(/^[a-zA-Z]+[- ]?[a-zA-Z]*$/)) {
        alertstr += '- Invalid entry for the "First Name" field\n';
        invalid++;
    }
    // lname: standard text, hidden, password, or textarea box
    var lname = form.elements['lname'].value;
    if (lname == null || ! lname.match(/^[a-zA-Z]+[- ]?[a-zA-Z]+\s*,?([a-zA-Z]+|[a-zA-Z]+\.)?$/)) {
        alertstr += '- Invalid entry for the "Last Name" field\n';
        invalid++;
    }
    // streetaddr1: standard text, hidden, password, or textarea box
    var streetaddr1 = form.elements['streetaddr1'].value;
    if (streetaddr1 == null || ! streetaddr1.match(/^[0-9]+ \w/)) {
        alertstr += '- Invalid entry for the "Postal address" field\n';
        invalid++;
    }
    // homecity: standard text, hidden, password, or textarea box
    var homecity = form.elements['homecity'].value;
    if (homecity == null || ! homecity.match(/\w/)) {
        alertstr += '- Invalid entry for the "City, State" field\n';
        invalid++;
    }
    // homestate: select list, always assume it's multiple to get all values
    var homestate = null;
    var selected_homestate = 0;
    for (var loop = 0; loop < form.elements['homestate'].options.length; loop++) {
        if (form.elements['homestate'].options[loop].selected) {
            homestate = form.elements['homestate'].options[loop].value;
            selected_homestate++;
            if (homestate == null || ! homestate.match(/\w/)) {
                alertstr += '- Select an option from the "State" list\n';
                invalid++;
            }
        } // if
    } // for homestate
    if (! selected_homestate) {
        alertstr += '- Select an option from the "State" list\n';
        invalid++;
    }

    // postalcode: standard text, hidden, password, or textarea box
    var postalcode = form.elements['postalcode'].value;
    if (postalcode == null || ! postalcode.match(/^\d{5}$|^\d{5}\-\d{4}$/)) {
        alertstr += '- Invalid entry for the "Postal Code" field\n';
        invalid++;
    }
    // phone: standard text, hidden, password, or textarea box
    var phone = form.elements['phone'].value;
    if (phone != null && phone != "" && ! phone.match(/^\d{3}\-\d{3}\-\d{4}$|^\(\d{3}\)\s+\d{3}\-\d{4}$/)) {
        alertstr += '- Invalid entry for the "Phone" field\n';
        invalid++;
    }
    // cell: standard text, hidden, password, or textarea box
    var cell = form.elements['cell'].value;
    if (cell != null && cell != "" && ! cell.match(/^\d{3}\-\d{3}\-\d{4}$|^\(\d{3}\)\s+\d{3}\-\d{4}$/)) {
        alertstr += '- Invalid entry for the "Cell" field\n';
        invalid++;
    }
    // email: standard text, hidden, password, or textarea box
    var email = form.elements['email'].value;
    if (email != null && email != "" && ! email.match(/^[\w\-\+\._]+\@[a-zA-Z0-9][-a-zA-Z0-9\.]*\.[a-zA-Z]+$/)) {
        alertstr += '- Invalid entry for the "Email" field\n';
        invalid++;
    }
    if (invalid > 0 || alertstr != '') {
        if (! invalid) invalid = 'The following';   // catch for programmer error
        alert(''+invalid+' error(s) were encountered with your submission:'+'\n\n'
                +alertstr+'\n'+'Please correct these fields and try again.');
        // reset counters
        alertstr = '';
        invalid  = 0;
        return false;
    }
    return true;  // all checked ok
}
//-->
</script>
<noscript><span class="fb_invalid">Please enable Javascript or use a newer browser.</span></noscript>
<p>Fields that are <span class="fb_required">highlighted</span> are required.</p>

<!-- Generated by CGI::FormBuilder v3.03 available from www.formbuilder.org -->
<form action="register.cgi" id="RegistrationForm" js="0" method="post" name="RegistrationForm" onsubmit="return validate_RegistrationForm(this);">
<div>
<input id="_submitted_RegistrationForm" name="_submitted_RegistrationForm" type="hidden" value="1" />
<input class="fb_hidden" id="employer" name="employer" type="hidden" />
<input class="fb_hidden" id="occupation" name="occupation" type="hidden" />
<table class="fb">
<tr id="RegistrationForm_fname_row">
  <td class="fb_label" id="RegistrationForm_fname_label"><span class="fb_required">First Name</span></td>
  <td class="fb_field" id="RegistrationForm_fname_field"><input class="fb_input" id="fname" name="fname" type="text" /></td>
</tr>
<tr id="RegistrationForm_mname_row">
  <td class="fb_label" id="RegistrationForm_mname_label">Middle Names</td>
  <td class="fb_field" id="RegistrationForm_mname_field"><input class="fb_input" id="mname" name="mname" type="text" /></td>
</tr>
<tr id="RegistrationForm_lname_row">
  <td class="fb_label" id="RegistrationForm_lname_label"><span class="fb_required">Last Name</span></td>
  <td class="fb_field" id="RegistrationForm_lname_field"><input class="fb_input" id="lname" name="lname" type="text" /></td>
</tr>
<tr id="RegistrationForm_namesuffix_row">
  <td class="fb_label" id="RegistrationForm_namesuffix_label">Suffix and Title</td>
  <td class="fb_field" id="RegistrationForm_namesuffix_field"><input class="fb_input" id="namesuffix" name="namesuffix" type="text" /></td>
</tr>
<tr id="RegistrationForm_streetaddr1_row">
  <td class="fb_label" id="RegistrationForm_streetaddr1_label"><span class="fb_required">Postal address</span></td>
  <td class="fb_field" id="RegistrationForm_streetaddr1_field"><input class="fb_input" id="streetaddr1" name="streetaddr1" type="text" /></td>
</tr>
<tr id="RegistrationForm_streetaddr2_row">
  <td class="fb_label" id="RegistrationForm_streetaddr2_label">Postal address (additional)</td>
  <td class="fb_field" id="RegistrationForm_streetaddr2_field"><input class="fb_input" id="streetaddr2" name="streetaddr2" type="text" /></td>
</tr>
<tr id="RegistrationForm_homecity_row">
  <td class="fb_label" id="RegistrationForm_homecity_label"><span class="fb_required">City, State</span></td>
  <td class="fb_field" id="RegistrationForm_homecity_field"><input class="fb_input" id="homecity" name="homecity" type="text" /></td>
</tr>
<tr id="RegistrationForm_homestate_row">
  <td class="fb_label" id="RegistrationForm_homestate_label"><span class="fb_required">State</span></td>
  <td class="fb_field" id="RegistrationForm_homestate_field"><select class="fb_select" id="homestate" name="homestate">
  <option value="">-select-</option>
  <option value="AL">Alabama</option>
  <option value="AK">Alaska</option>
  <option value="AS">American Samoa</option>
  <option value="AZ">Arizona</option>
  <option value="AR">Arkansas</option>
  <option value="CA">California</option>
  <option value="CO">Colorado</option>
  <option value="CT">Connecticut</option>
  <option value="DE">Delaware</option>
  <option value="DC">District of Columbia</option>
  <option value="FM">Federated States of Micronesia</option>
  <option value="FL">Florida</option>
  <option value="GA">Georgia</option>
  <option value="GU">Guam</option>
  <option value="HI">Hawaii</option>
  <option value="ID">Idaho</option>
  <option value="IL">Illinois</option>
  <option value="IN">Indiana</option>
  <option value="IA">Iowa</option>
  <option value="KS">Kansas</option>
  <option value="KY">Kentucky</option>
  <option value="LA">Louisiana</option>
  <option value="ME">Maine</option>
  <option value="MH">Marshall Islands</option>
  <option value="MD">Maryland</option>
  <option value="MA">Massachusetts</option>
  <option value="MI">Michigan</option>
  <option value="MN">Minnesota</option>
  <option value="MS">Mississippi</option>
  <option value="MO">Missouri</option>
  <option value="MT">Montana</option>
  <option value="NE">Nebraska</option>
  <option value="NV">Nevada</option>
  <option value="NH">New Hampshire</option>
  <option value="NJ">New Jersey</option>
  <option value="NM">New Mexico</option>
  <option value="NY">New York</option>
  <option value="NC">North Carolina</option>
  <option value="ND">North Dakota</option>
  <option value="MP">Northern Mariana Islands</option>
  <option value="OH">Ohio</option>
  <option value="OK">Oklahoma</option>
  <option value="OR">Oregon</option>
  <option value="PW">Palau</option>
  <option value="PA">Pennsylvania</option>
  <option value="PR">Puerto Rico</option>
  <option value="RI">Rhode Island</option>
  <option value="SC">South Carolina</option>
  <option value="SD">South Dakota</option>
  <option value="TN">Tennessee</option>
  <option value="TX">Texas</option>
  <option value="UT">Utah</option>
  <option value="VT">Vermont</option>
  <option value="VI">Virgin Islands</option>
  <option value="VA">Virginia</option>
  <option value="WA">Washington</option>
  <option value="WV">West Virginia</option>
  <option value="WI">Wisconsin</option>
  <option value="WY">Wyoming</option>
  <option value="AE">Armed Forces Africa</option>
  <option value="AA">Armed Forces Americas</option>
  <option value="AE">Armed Forces Canada</option>
  <option value="AE">Armed Forces Europe</option>
  <option value="AE">Armed Forces Middle East</option>
  <option value="AP">Armed Forces Pacific</option>
  </select></td>
</tr>
<tr id="RegistrationForm_postalcode_row">
  <td class="fb_label" id="RegistrationForm_postalcode_label"><span class="fb_required">Postal Code</span></td>
  <td class="fb_field" id="RegistrationForm_postalcode_field"><input class="fb_input" id="postalcode" name="postalcode" type="text" /></td>
</tr>
<tr id="RegistrationForm_affiliate_row">
  <td class="fb_label" id="RegistrationForm_affiliate_label">County Party</td>
  <td class="fb_field" id="RegistrationForm_affiliate_field"><select class="fb_select" id="affiliate" name="affiliate">
  <option value="">-select-</option>
  <option value="Alameda">Alameda</option>
  <option value="Alpine">Alpine</option>
  <option value="Amador">Amador</option>
  <option value="Butte">Butte</option>
  <option value="Calaver">Calaveras</option>
  <option value="Colusa">Colusa</option>
  <option value="ContraC">Contra Costa</option>
  <option value="DelNort">Del Norte</option>
  <option value="ElDorad">El Dorado</option>
  <option value="Fresno">Fresno</option>
  <option value="Glenn">Glenn</option>
  <option value="Humbold">Humboldt</option>
  <option value="Imperia">Imperial</option>
  <option value="Inyo">Inyo</option>
  <option value="Kern">Kern</option>
  <option value="Kings">Kings</option>
  <option value="Lake">Lake</option>
  <option value="Lassen">Lassen</option>
  <option value="LosAnge">Los Angeles</option>
  <option value="Madera">Madera</option>
  <option value="Marin">Marin</option>
  <option value="Maripos">Mariposa</option>
  <option value="Mendoci">Mendocino</option>
  <option value="Merced">Merced</option>
  <option value="Modoc">Modoc</option>
  <option value="Mono">Mono</option>
  <option value="Montere">Monterey</option>
  <option value="Napa">Napa</option>
  <option value="Nevada">Nevada</option>
  <option value="Orange">Orange</option>
  <option value="Placer">Placer</option>
  <option value="Plumas">Plumas</option>
  <option value="Riversi">Riverside</option>
  <option value="Sacrame">Sacramento</option>
  <option value="SanBeni">San Benito</option>
  <option value="SanBern">San Bernardino</option>
  <option value="SanDieg">San Diego</option>
  <option value="SanFran">San Francisco</option>
  <option value="SanJoaq">San Joaquin</option>
  <option value="SanLuis">San Luis Obispo</option>
  <option value="SanMate">San Mateo</option>
  <option value="SantaBa">Santa Barbara</option>
  <option value="SantaCl">Santa Clara</option>
  <option value="SantaCr">Santa Cruz</option>
  <option value="Shasta">Shasta</option>
  <option value="Sierra">Sierra</option>
  <option value="Siskiyo">Siskiyou</option>
  <option value="Solano">Solano</option>
  <option value="Sonoma">Sonoma</option>
  <option value="Stanisl">Stanislaus</option>
  <option value="Sutter">Sutter</option>
  <option value="Tehama">Tehama</option>
  <option value="Trinity">Trinity</option>
  <option value="Tulare">Tulare</option>
  <option value="Tuolumn">Tuolumne</option>
  <option value="Ventura">Ventura</option>
  <option value="Yolo">Yolo</option>
  <option value="Yuba">Yuba</option>
  </select></td>
</tr>
<tr id="RegistrationForm_caucuses_row">
  <td class="fb_label" id="RegistrationForm_caucuses_label">Caucuses</td>
  <td class="fb_field" id="RegistrationForm_caucuses_field"><select class="fb_select" id="caucuses" multiple="multiple" name="caucuses" size="3">
  <option value="Campus">Campus Greens</option>
  <option value="Lav">Lavender Caucus</option>
  <option value="WC">Women&#39;s Caucus</option>
  <option value="Secular">Secular Caucus</option>
  <option value="Ethnic">Ethnic Minority Caucus</option>
  <option value="POCC">People of Color Caucus</option>
  <option value="BC">Black Caucus</option>
  <option value="DC">USGP Disability Caucus</option>
  <option value="Rural">Rural Greens Caucus</option>
  <option value="none">none</option>
  </select> <span class="fb_comment"><br><align=top>Use control-click to choose multiple caucuses.</span></td>
</tr>
<tr id="RegistrationForm_committees_row">
  <td class="fb_label" id="RegistrationForm_committees_label">Committees</td>
  <td class="fb_field" id="RegistrationForm_committees_field"><select class="fb_select" id="committees" multiple="multiple" name="committees" size="5">
  <option value="CC">Coordinating Committee</option>
  <option value="FinCmte">Finance Committee</option>
  <option value="Bylaws">Bylaws Committee</option>
  <option value="PlatCom">Platform Committee</option>
  <option value="Intl">International Protocol</option>
  <option value="Media">Media Committee</option>
  <option value="CH">Clearinghouse Committee</option>
  <option value="GROW">Grassroots Organizing Working Gorup</option>
  <option value="CCWG">Campaigns and Candidates Working Group</option>
  <option value="ERWG">Electoral Reform Working Group</option>
  <option value="GIWG">Green Issues Working Group</option>
  <option value="IT">Information Technology SubCommittee</option>
  <option value="GAP">General Assembly Planning Committee</option>
  <option value="none">none</option>
  </select> <span class="fb_comment"><br><align=top>Use control-click to choose multiple committees.</span></td>
</tr>
<tr id="RegistrationForm_organizations_row">
  <td class="fb_label" id="RegistrationForm_organizations_label">Organizations</td>
  <td class="fb_field" id="RegistrationForm_organizations_field"><input class="fb_input" id="organizations" name="organizations" type="text" /></td>
</tr>
<tr id="RegistrationForm_phone_row">
  <td class="fb_label" id="RegistrationForm_phone_label">Phone</td>
  <td class="fb_field" id="RegistrationForm_phone_field"><input class="fb_input" id="phone" name="phone" type="text" /> <span class="fb_comment"><br>Please use this format: 999-555-1212</span></td>
</tr>
<tr id="RegistrationForm_cell_row">
  <td class="fb_label" id="RegistrationForm_cell_label">Cell</td>
  <td class="fb_field" id="RegistrationForm_cell_field"><input class="fb_input" id="cell" name="cell" type="text" /></td>
</tr>
<tr id="RegistrationForm_email_row">
  <td class="fb_label" id="RegistrationForm_email_label">Email</td>
  <td class="fb_field" id="RegistrationForm_email_field"><input class="fb_input" id="email" name="email" type="text" /></td>
</tr>
<tr id="RegistrationForm_submit_row">
  <td class="fb_submit" colspan="2" id="RegistrationForm_submit_field"><input class="fb_button" id="RegistrationForm_submit" name="_submit" onclick="this.form._submit.value = this.value;" type="submit" value="Proceed_to_Meals_and_Housing" /></td>
</tr>
</table>
</div>
</form>
  <font -n>
  <br><br>
  <hr>
  <p class="byline" align="right">
  RegForm 0.10b is one of many tools and services offered by <a href="http://www1.CampaignFoundations.com">CampaignFoundations.com</a><br>
  Building a Foundation for Winning Campaigns, on the issues and at the polls<br>
  Copyright 2006 by Cameron Spitzer and Hugh Esco</p>
  </font>