2019 Capitol Day Registration 2019 Capitol Day Registration Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Best Phone Number to Reach You*(###) ###-####Email* Enter Email Confirm Email Would you like to receive our monthly digital newsletter? Click YES if you ARE NOT currently receiving it.*YesNoFirst and last names of all who will be attending. Name tags provided at check-in.*Will you be attending a Statehouse Tour?All tour have now reach their maximum capacity and are now closed.Which tour will you be attending?All tours have reached max capacity and are now closed. How many will be attending your selected tour?*12345678910Are you a current CHEO member?*YesNoCHEO Membership*New Membership $30.00 per yearRenewal Membership $25 per year (if expired no more than 6 months)Not today, thanks.Capitol Day Event Family Registration Fee*CHEO Member... $20.00 (per family)Non CHEO Member... $30.00 (per family)Total Payment Due: $0.00 Credit Card MasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged.