river roundup in-person admin tablet registration

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Roundup Registration

Registration will be available ONLINE ONLY for 32nd Annual River Roundup : January 6-8, 2022

Registration will end 12/31/2021
Registration and prepayment is required for ALL special events and meals so we can get head counts and know how many rooms we need to reserve and where to place people

Contact Information

First Name(*)

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Last Name(*)

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Badge(*)

AA Al-AnonAlateen

Please specify your position in the company

Phone(*)

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Email Address(*)

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Street Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Volunteer

Yes No Please specify your position in the company

Attendant info for yourself and guests

Please mark affiliation and city. For adding more than 4 guests, please input their information in "additional comments" at the end of this form.

First Name(*)

Please type your first name.

City or Goup(*)

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Badge(*)

AA Al-AnonGuestAlateen

Please specify your position in the company

Volunteer

Yes No Please specify your position in the company

First Name

Please type your full name.

City or Goup

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Badge

AA Al-AnonGuestAlateen Please specify your position in the company

Volunteer

Yes No Please specify your position in the company

First Name

Please type your full name.

City or Goup

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Badge

AA Al-AnonGuestAlateen Please specify your position in the company

Volunteer

Yes No Please specify your position in the company

First Name

Please type your full name.

City or Goup

Invalid Input

Badge

AA Al-AnonGuestAlateen Please specify your position in the company

Volunteer

Yes No Please specify your position in the company

Additional Information, Special Needs or Requests

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After you hit SUBMIT, to complete your Registration, you will be redirected to a store page where you MUST PURCHASE TICKETS for EACH PERSON planning to attend.

PHONE
(928) 763-4499
(800) 864-1606

MAILING ADDRESS
PO Box 22511
Bullhead City, AZ 86439

OFFICE ADDRESS
603 Marina Boulevard
Bullhead City AZ 86439

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