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AIM FOR AMES Roundup Registration

Please preregister. Registration: $25 each A.A. / Al-Anon / Alateen
Registration via PayPal or Credit Card: PLEASE NOTE
- There is a $1.50 additional charge to cover the cost of the transaction.
- There is a limit of up to four persons per PayPal transaction.
- If you are paying for multiple registrations name and payment for each registrant is * required.
- PayPal link will be disabled 11PM, March 13th, 2024. (Registration will also be available during the conference.)
Registration via Mail - Download the conference flyer and follow mail-in instructions.
1st Registrant Information*

First NameLast Name
Select Registration Payment

$26.50
Phone Number
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Check One

A. A.Al-AnonAlateenOther
2nd Registrant Information

First NameLast Name
Select Registration Payment

$26.50
Phone Number
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Check One

A. A.Al-AnonAlateenOther
3rd Registrant Information

First NameLast Name
Select Registration Payment

$26.50
Phone Number
E-mail
Address

Street Address

Street Address Line 2

CityState

Zip Code
Check One

A. A.Al-AnonAlateenOther
4th Registrant Information*

First NameLast Name
Select Registration Payment

$26.50
Phone Number
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Check One

A. A.Al-AnonAlateenOther
Calculation
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If you experience problems completing and/or submitting this form please email aimforames@yahoo.com
Amount to be paid

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