Constitution Party of VA

Quadrennial State Convention

March 24, 2004

The Quadrennial State Convention of the Constitution Party of Virginia will be held at the Sheraton Premiere at Tysons Corner (8661 Leesburg Pike, Vienna, VA, 703-448-1234) at 6:30 pm on March 24, 2004.

The purpose of the convention is to elect officers, and to recruit electors to the Electoral College and delegates to the National Convention of the Constitution Party to be held June 22-26 in Valley Forge, PA.

All legal and qualified voters under the laws of the Commonwealth of Virginia, regardless of race, religion, national origin, or sex, who are in accord with the principles of the Constitution Party of Virginia, and who, if requested, express in open meeting either orally or in writing as may be required their intent to support all of its nominees for public office in the ensuing election, may participate as members of the Constitution Party of Virginia in its mass meetings, party canvasses, conventions, or primaries encompassing their respective election districts.

Whether you can attend or not, please print this page, clip the form below, and return to:
Howard Phillips, State Chairman, Constitution Party of Virginia, 450 Maple Avenue East, Vienna, VA 22180

Contributions to help cover the cost of the convention are welcome.

___	Yes, I plan to attend the Constitution Party of Virginia State Convention on March 24th at 6:30 pm at the Sheraton Premiere, 8661 Leesburg Pike, Vienna, VA.
___	I am unable to attend the Convention.
___	I am planning to attend the Constitution Party National Convention to be held in Valley Forge, PA, June 22-26, 2004.
___	Enclosed in my contribution in support of the Constitution Party of Virginia: ___ $50 ___ $35 ___ $100 ___ $250 ________ $ Other Please charge my credit card in the above amount: ___ MasterCard ___ Visa ___ American Express Account No.___________________________ Expiration Date (mm/yyyy)________ Signature______________________________________ Contributor Information required by state law: Your occupation____________________________ Your Employer____________________________ Location of Employer/Business____________________________