South Carolina Alcoholics Anonymous

SC State Convention Registration

Registration is $35 per member. Complete the form below for up to 4 members then click the submit button to send registration payment.

Attendee #1
Name:
Street Address:
City:
State:
Zip Code:
Phone:
Email Address:
Badge Information
Badge Name:
City or Group Name:
Special Events (Check those you wish to purchase)
Banquet ($45):
Taco Bar ($15):
Special Needs/Accessibilty

Please list any Special Needs or Accessibility Issues:

Attendee #2
Name:
Street Address:
City:
State:
Zip Code:
Phone:
Email Address:
Badge Information
Badge Name:
City or Group Name:
Special Events (Check those you wish to purchase)
Banquet ($45):
Taco Bar ($15):
Special Needs/Accessibilty

Please list any Special Needs or Accessibility Issues:

Attendee #3
Name:
Street Address:
City:
State:
Zip Code:
Phone:
Email Address:
Badge Information
Badge Name:
City or Group Name:
Special Events (Check those you wish to purchase)
Banquet ($45):
Taco Bar ($15):
Special Needs/Accessibilty

Please list any Special Needs or Accessibility Issues:

Attendee #4
Name:
Street Address:
City:
State:
Zip Code:
Phone:
Email Address:
Badge Information
Badge Name:
City or Group Name:
Special Events (Check those you wish to purchase)
Banquet ($45):
Taco Bar ($15):
Special Needs/Accessibilty

Please list any Special Needs or Accessibility Issues:

Scholarship Donations

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S.C. Alcoholics Anonymous Area 62