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2. Attendee Information

   Please fill out this information about who will be attending the 2025 Lenawee County Legislative Dinner.

4. First Name*
5. Last Name*
7. Email Address*
9. Organization*
13. Billing Information

    There is a cost of $35.00 per attendee for the 2025 Lenawee County Legislative Dinner.  We will send you an invoice once your registration is complete. Please let us know how to direct the invoice.

15. Billing Contact First Name*
16. Billing Contact Last Name*
18. Billing Organization
20. Billing Contact Address*
22. City*
23. State*
24. Zip Code*
26. Billing Email Address*
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field