Registration
  53rd Annual Spring Conference
  Alcoholics Anonymous Area 75
  May 14th - 16th, 2004

Name:

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Address:

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City, State, Zip:

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Email Address:

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Please Check:     AA      Al Anon      Alateen

Special Needs:
      Spanish interpreter           ASL interpreter
(special needs requests must be made by April 14th, 2004 )

Advance Registration cut-off is April 30th , 2004
All other registration will take place on the site/day of.

Registration Fee:                                          $12.00
(Alateen registration is free)
Saturday Banquet:                                        $25.00
Meal preference:
               Chicken Montrachet
              Deluxe Vegetarian
Sunday Breakfast Buffet:                             $15.00

Total Enclosed                                              $

Please make checks payable to Conference Treasurer and mail to:

Area 75 Conference
P.O. 70534
Milwaukee , WI 53207-0534
For more information contact Mike S. (414) 704-3265