64th Prepaid Vol reg

Area 16; Alcoholics Anonymous in Georgia

Prepaid Convention - Volunteer Signup Form

It is only with your help, that our A.A. Fellowship works!
Attention: Please use your valid e-mail address. This form will send a confirmation to your e-mail. If you would like to participate on one of our committees, please select onebelow. The Committee you pick will then contact you.

Name: *

E-mail Address: *

Street Address:

City, Zip code:

Telephone (include area code):

Which Committee would you like to help with? *

If you selected Other, please describe here:

Are you a General Service Representative?

yes
no

District/Zone Number: *

How long have you been sober?

Additional information you would like to tell the committee you volunteered for:

* Required