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REGISTER

Menu

Home
About
Schedule of Events
Contact

SSAASA 8 Registration Form
Registration Fee: $35.00

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Name:

Name For Badge:

Area#

City:

State:

Zip:

Phone:

Email:

Do you have any accessibility or special needs during the event?:

Preferred method of communication:
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Current service position:

Past Service Experience:
GSRDCMDelegateChairpersonSecretaryTreasurerChairTrusteeGSO StaffTreatmentCorrectionsPICPCAccessibilitiesArchivesLiteratureGrapevine

I would like to be contacted about volunteer opportunities at SSAASA 8

I would like to contribute to the SSAASA scholarship fund to help others attend.

Contribution total:$

I would like to add the $1.71 Paypal fee to my total.

Paying by check? Make all checks out to:

SSAASA Steering Committee
PO BOX 2694
Woodbridge VA 22195

Click Here to Download Form

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In accordance with A.A.’s 7th tradition, SSAASA is funded through registration fees and the voluntary contributions of A.A. members, groups, and districts.

I am an A.A. member
I am not an A.A. member

This event is being hosted by Virginia Area 71 of Alcoholics Anonymous.