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Register for the June 2021 Assembly here

Please enter your contact information
This registration will replace the sign-in sheets at Assembly

Required fields are red


Email:   Phone Number:
First Name:   Last Name:
Address: If you would like to receive assembly minutes and documents by snail mail please enter your complete mailing address
City:   State:    Zip/Postal Code:


If you don't know what district you are in choose the county where your home group is located
How Many years of sobriety do you have?
please enter years only (.08 = 30 days) (.16 = 60 days) (.25 = 90 days) (.5 = 6 months) (.75 = 9 months)
Home Group:

  Are you a   Position:
Have you attended an assembly before? Yes   NO