45th National AA Convention Coffs Harbour NSW Australia April 2010

Participant Information

Name :

Fellowship : Observer Al-Anon AA Prefered Name for Name Tag:

Home Group : E-mail:

Length of Sobriety AA/ Time in Fellowship Al-Anon :

Phone Number :

Available to speak : Yes No Available to chair : Yes No Available for Service : Yes No

Early bird Registration $70 + $2.00 fee

AA Convention uses PayPal for credit card transactions. You do not have to have a PayPal account to register.