61st Georgia Prepaid Convention On-line Registration Form

Attention: Please use your valid e-mail address. This script will send the results of the processing to the entered e-mail.  Please fill out the form completely. An asterisk * symbol signifies a required field.
Volunteer and Contact Information: [email protected] 

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Out-of-State Visitor Requirements:

Out-of-State registration fee AA & Alanon: $25.00_Advance Fee 
Out-of-State registration fee Alateen: $10.00_Advance Fee
'Advance Fees' are payable when this form is submitted.
Checks or Money Orders only, Please ! 
Cash or Cards will Not Be Accepted!

Make Payable to:  'Georgia State Prepaid Convention'
Mail to:  61st Prepaid Convention
P.O. Box 20347
St. Simons Island, GA 31522 

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