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Redwood
Coast Roundup
"Stepping Stones to Recovery"
August 31, September 1 and 2, 2012 - Fortuna, Ca
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This is the registration form as of November 2011 - the 2012 registration form should be finalized no later than May 2012
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| item |
price |
quantity
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item
total
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Early
Registration*
(before August 20)
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$15.00
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| Sponsor
a
Newcomer |
$15.00 |
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Registration
(after August 20) |
$20.00
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Saturday
Lunch*
(served by Al-Anon) |
$10.00
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Saturday Banquet:
Tri-Tip or Lasagna, Vegetarian selction available.*
(please circle choice or write in quantity column)
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$20.00 |
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| Sunday
Full Breakfast* |
$10.00 |
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| Coffee
Mug |
$8.00 |
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T-shirt:
S, M,
L, XL, XXL
(please circle choice or write in quantity column) |
$15.00 |
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| all
items total: |
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*Pre-Registration
is Recommended! (The number of
meals is limited.)
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For the person filling out
this form (in case we need to contact you): |
name
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phone
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email
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address
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| city |
state |
zip |
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name tags (first name and last
initial, and please mark aa or al-anon): |
| name |
aa |
al-anon |
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Please
include check or
money order and send to:
Redwood Coast Roundup
P.O. Box 6943
Eureka, Ca 95502
You can register as AA or Al-Anon, sponsor a newcomer, pay less
for early registration, buy Saturday lunch, Saturday dinner, Sunday
breakfast, mugs, and t-shirts.
Pre-Registration is recommended, since our meal tickets tend to sell
out fast.
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