AA Convention with Al-Anon Participation

Sponsored by the Gay, Lesbian, Bisexual & Transgender
Fellowship of Orange County

 


Online Registration Form
Registration is Free for Miracles Happen2015
 

Registrant's First Name

  

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 (Required)

  

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.