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Many Faces of Grapevine Registration
Get a flyer for your group and friends
Please complete this form for registration. Online payment will be completed thru PayPal. A transaction fee of $0.3000 for the first person and $0.0305 for each additional person will be added to your registration total. Your registration package will be waiting upon your arrival. Registration and payment confirmation will be sent to you via email. For Questions please contact us through our
"Contact Us"
page. We look forward to seeing you there.
If you are registering for more than one person please make sure the credit card information matches the contact information for the first person registered. If you are using another credit/debit card the payment information may be changed when you are transfered to the paypal site.
Registration and Credit/Debit Card Information
Email:
First Name:
Last Name:
Address:
Apt or Suite:
City:
State:
Zip:
Phone:
Sobriety Date::
Home Group:
How many people are included in this registration (max 4)? You will add their info next.
One
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Four
This site was last updated on January 19, 2021
Area Guidelines
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January 2121 Agenda
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