Alcoholics Anonymous bridging the gap temporary contact on release corrections treatment AA

Alcoholics Anonymous Temporary Contacts

Register Online for 2018 Workshop

Request a Temporary Contact

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Please complete this form for registration. Online payment will be completed thru PayPal. A transaction fee of $2 for the first person and $1 for each additional person will be added to your registration total. Your registration package will be waiting upon your arrival. Registration and payment confirmation will be sent to you via email. For Questions please contact us through our "Contact Us" page. We look forward to seeing you there.
If you are registering for more than one person please make sure the credit card information matches the contact information for the first person registered. If you are using another credit/debit card the payment information may be changed when you are transfered to the paypal site.


Registration and Credit/Debit Card Information
Email:  
First Name: Last Name:
Address: Apt or Suite:
City: State: Zip:
Phone: Other Phone:
Home Group:
Service Position: Area Number: District #:
 
If you would like give a presentation what topic would you choose ?:
 
How many people are included in this registration (max 4)? You will add their info next. One Two Three Four
 





Site information was last updated on Fri, Jun 08 2018 Alcoholics Anonymous bridging the gap temporary contact on release corrections treatment AA