7.25.26 Building the Iowa We Need - CCI Action Annual Convention

Join other fellow CCI Action members on Saturday, July 25 for this energizing and powerful day.

We’ll come together to re-connect and meet other CCI Action members from across the state for a day of information, inspiration, and action.

If you are registering multiple participants, please put your information on this page and add the other participants on subsequent pages. There will be a final confirmation page before your registration is complete.

How many people are you registering? *

(including yourself)

Your Registration Info

First Name *

Last Name *

Email *

Street Address *

City *

State *

Zip Code *

Phone - Mobile

Phone - Landline

UTM Source

web

Registration Fee

Early Bird - Until July 2

Registration - $ 25.00

- none -

Extra gift to support the event: (type as 25, not $25)

$ 1.00

Staff and Guest

$ 0.00

Total for this participant

Authorize.net (Credit Card)

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Convention registration details

Any dietary needs/restrictions?

Do you have any accessibility needs?

We do not want cost to prevent you from attending the CCI Action convention. Sliding scale and scholarships are available - contact our office at cciaction@cciaction.org or call (515) 282-0484 for more information.