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Please complete this form to register for the
Vietnamese American Youth Leadership Conference 2005.
Registration Deadline -
June 7, 2005
Registration Fee (Registration is not
complete until we have received your Conference fee):
Send checks to:
National Congress of Vietnamese Americans
c/o VAYLC
6433 Northanna Drive
Springfield, VA 22150
NOTE: Part of VAYLC will be held
at Washington locations that have security protocols. Thus, we are requesting
your Date of Birth and Social Security Number. This information will be shared
with Federal Government Agencies only, i.e. White House and Pentagon. It will
not be shared with anyone else.
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