Assemblymember Avelino Valencia
68th Assembly District
Community Swearing In
Thank you for your interest.
You have selected,"
Yes, I will attend
".
Please provide your information below.
* Indicates required fields
First Name
*
Last Name
*
Street Address
*
City
*
Zip Code
*
Email Address
*
Phone Number
Number of Additional Guests
Privacy Policy and Conditions of Use