NY Mission to Washington, DC 2026 Registration

Name(Required)

Title First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

WA group

Please add me to the group WhatsApp to receive updates for the day of

Mission Fee(Required)

Mission Fee to help us cover our costs- $125

Sponsorships

Lunch Sponsor- $500

Dinner Sponsor- $750

Photographer- $1000

Travel Expenses for Staff- $500

Thank you. I will not be sponsoring this time.

Total

Coupon

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Airline/ Train

Flight/ Train number

Time of arrival

Time of departure