area 61 2018 convention flyer 61 2018 convention.pdf · 2018-05-23 · kane b, waukesha, wi marcia...

REGISTRATION FORM AREA 61 WIUPMI 2018 Convention (One registrant per form) NAME:_________________________________________ Please Select Fellowship: ___Al-Anon ___ Alateen ___AA ADDRESS:_________________________________ CITY: __________________________ STATE: _______ ZIP: ________________ PHONE:__________________________ E-MAIL:________________________________ Check if interested in volunteering: ____ Registration Rates: Early (by Sept 19 th ): $15 , Regular (by Oct 12 th ): $20 , Late (after Oct 12 th ): $25 , Alateen: $10 . Meals: Saturday Banquet: Adults $33 . Sunday Buffet: Adults: $22 . *No meal accommodations can be made after Oct 12 th * Saturday Meal Choices (please check one): Chicken , Pork , or Salmon . Please specify any special needs, accommodations, and or dietary restrictions: ________________________________________________________ *Alateens, go to convention.area61afg.org for further registration directions and required Participating Minors Information and Permission Form Mail to: WIUPMI AFG State Convention PO Box 64, Lake Bluff IL, 60044-0064 - Please make checks payable to: WI AFG INC Please email [email protected] with any questions or concerns Chula Vista Resort mention “Al-Anon Convention” along with code “F28760” when making hotel reservations. Convention Room Rates: $99 + Tax for up to 6 people. All rooms are semi-suites and will include water passes for all room registrants. Reservations must be made by Meetings Panels & Workshops Basket Raffle Saturday Banquet & Entertainment Sunday Breakfast Buffet October 19 th -21 st , 2018 Area 61 – Wisconsin & the UP of Michigan (WIUPMI) Al-Anon/Alateen Convention With AA Participation Grand Total = $_____ For more details continue to visit: Convention.area61afg.org *On-site registration opens at 3pm on Friday Oct 19th and 8am on Saturday Oct 20th* Alateen Speakers Rachel S, Stevens Point, WI Julianne O, Stevens Point, WI Al-Anon Speakers Debbie H, Arbor Vitae, WI Mary G, Venice, FL Don B, Neenah, WI AA Speakers Kane B, Waukesha, WI Marcia S, Union, IL

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Page 1: Area 61 2018 Convention Flyer 61 2018 Convention.pdf · 2018-05-23 · Kane B, Waukesha, WI Marcia S, Union, IL . Title: Microsoft Word - Area 61 2018 Convention Flyer.docx Created

REGISTRATION FORM AREA 61 WIUPMI 2018 Convention (One registrant per form)

NAME:_________________________________________ Please Select Fellowship: ___Al-Anon ___ Alateen ___AA

ADDRESS:_________________________________ CITY: __________________________ STATE: _______ ZIP: ________________

PHONE:__________________________ E-MAIL:________________________________ Check if interested in volunteering: ____

Registration Rates: Early (by Sept 19th): $15 , Regular (by Oct 12th): $20 , Late (after Oct 12th): $25 , Alateen: $10 .

Meals: Saturday Banquet: Adults $33 . Sunday Buffet: Adults: $22 . *No meal accommodations can be made after Oct 12th*

Saturday Meal Choices (please check one): Chicken , Pork , or Salmon .

Please specify any special needs, accommodations, and or dietary restrictions: ________________________________________________________

*Alateens, go to convention.area61afg.org for further registration directions and required Participating Minors Information and Permission Form

Mail to: WIUPMI AFG State Convention PO Box 64, Lake Bluff IL, 60044-0064 - Please make checks payable to: WI AFG INC Please email [email protected] with any questions or concerns

Chula Vista Resort

mention “Al-Anon Convention” along with code “F28760” when making hotel reservations. Convention Room Rates: $99 + Tax for up to 6 people. All rooms are semi-suites and will include water passes for all room registrants. Reservations must be made by

Meetings

Panels & Workshops Basket Raffle

Saturday Banquet & Entertainment Sunday Breakfast Buffet

October 19 t h -21 s t , 2018 Area 61 – Wisconsin & the UP of Michigan (WIUPMI)

Al-Anon/Alateen Convention With AA Participation

Grand Total = $_____

For more details continue to visit: Convention.area61afg.org

*On-site registration opens at 3pm on Friday Oct 19th and 8am on Saturday Oct 20th* Alateen Speakers

Rachel S, Stevens Point, WI Julianne O, Stevens Point, WI

Al-Anon Speakers Debbie H, Arbor Vitae, WI

Mary G, Venice, FL Don B, Neenah, WI

AA Speakers Kane B, Waukesha, WI