AA Convention with Al-Anon Participation
Sponsored by the Gay, Lesbian, Bisexual & Transgender
Fellowship of Orange County

 

Convention Location:

The Aliso Creek Inn
31106 South Coast Hwy
Laguna Beach, CA 92651
Room Reservations:  949-499-2271
(Limited number of rooms available!)

April 27 - April 29, 2012
 


Online Registration Form
 

Registrant's First Name

   

Early Registration Prices end March 19, 2012

Please fill out the form and click "Submit" to select your Registration choices.

Remember, your Registration is not complete until you have submitted payment on the PayPal site.

To register more than one person, please complete the registration process separately for each individual.

 

Registrant's Last Name

   

Name on Badge

   

Email Address (Required)

   

Mailing Address

   
    

City

   

State

   

Zip Code

   

Phone

   
   

Member of:

     A.A.   Al-Anon   Both

May we share your information with other conventions?:

     Yes      No

Comments:

 

  
 

                 

 

Credit card payment via PayPal must accompany online registration.
Please do not submit form until you are ready to complete payment.
Online forms submitted without payment are automatically deleted from the registration system.