AA Registration(s)_______ Cost: $20.00 Badge Name:
Al-Anon Registration(s)_____ Cost: $20.00 Badge Name:
Alateen Registration(s)______ Cost: $ 7.00 Badge Name:
Dance (can pay @ door)____ Cost: $ 5.00 Badge Name:
Total_____________________________
Your Name:
Address:
City State: Zip:
Make checks payable to:
Irving Spring Conference
P.O. Box 177852
Irving, TX 75017