Anniversary Meeting Registration

NYCMA Anniversary Meeting Registration
The Anniversary meeting has now resumed 100% in-person format at The Center (no hybrid).

Please complete this form to register for the monthly anniversary meeting. (You will be celebrating the month following your anniversary month). The next celebration takes place Monday, January 6th at 7:30 pm in Room 301 at The Center.
Your name*

First NameLast Initial
Pronouns
Your email address*
Phone Number*

Area CodePhone Number
Sobriety Date*

MonthDay Year
Number of years you're celebrating*
Who will be presenting your medallion?*
EACH CELEBRANT CAN HAVE ONLY ONE COIN PRESENTER.
Should be Empty:

NYCMA Anniversary Meeting Registration