Registration

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Online registration closes on 7-26-2025. In-person registration at the convention will be $55 for Al-Anon, AA, and guests.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Cell Phone(Required)

How you would like your name to appear on your name tag

Unless otherwise designated, we will use first name, last initial, and city as designated above or as it appears on your credit card for name tag.

How you would like your city to appear on your name tag

See back of Registration Form on the Convention Website for specific food information.

Would you like to purchase a Food Package?

(Food packages available until July 10th)
Sat/Sun Package includes:

Saturday Breakfast
Saturday Lunch
Saturday Banquet
Sunday Breakfast

Saturday Package includes:

Saturday Lunch
Saturday Banquet

Banquet Package includes:

Saturday Banquet

Would you like to purchase a Food Package? (Required)

Yes

No

Select Package

Will you need a vegetarian meal?(Required)

Yes

No

Registration Fee(Required)

$45 Al-Anon Member

$45 AA Member

$10 Alateen

$45 Guest

Friday Night Ice Cream Social $20 / $22 after April 30, but before July 10th

(Not Available for Purchase after July 10, 2025)
Friday Night Ice Cream Social – Vanilla, Chocolate, & Strawberry Ice Cream, Chocolate Syrup, Caramel Sauce, Strawberry Topping, Chopped Nuts, Whipped Cream

Yes – Ice Cream Social

Would you like to purchase a fundraising item?

Neck Badge Quantity

Price: $10.00

Quantity

Notebook Quantity

Price: $15.00

Quantity

Both Items (Neck Badge & Notebook) Quantity

Price: $20.00

Quantity

Would you like to make a contribution to the convention today?

Yes

How much would you like to contribute?

Mail-In Payment Date (Treasurer Only)

MM slash DD slash YYYY

Amount Paid (Treasurer Only)

Would you like to help at the convention?

Yes

Please check: (checkbox in front of each option below)

Alateen

Entertainment

Fundraising

Hospitality

Literature

Program

Registration

Decorations

If we need to contact you, do you prefer:

Phone

Text

Email

Please choose all that apply

Total Amount Due

To accommodate special needs, email: jeramy.charles@sheratonmesa.com
To accommodate food allergies, email: dawn.bartone@sheratonmesa.com
**No babysitting will be available at convention.

Payment Method(Required)

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

Billing Address

Same as address provided above

Street Address Address Line 2 City State ZIP Code

Name

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Al-Anon AZ Convention