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A Vision
For You
A.A. 2010 International Convention
75 Years of Alcoholics Anonymous
JULY 1 – 4, 2010 • SAN ANTONIO, TX USA
Coordinated by A.A. World Services, Inc.
REGISTRATION FORM www.aa.org
Fax: 00 1 514 228 3154
REGISTRATION DEADLINE IS: MAY 14, 2010
Preregistration Fee is:
_ $95 USD PER PERSON X ________ TOTALING $ __________________
Souvenir Book, Alcoholics Anonymous Comes of Age
_ $7 USD PER BOOK X ____ ENGLISH ____ FRENCH ____ SPANISH TOTALING $
__________________
Grapevine Special 2010 International Convention Issue
_ $4 USD PER ISSUE X ____ ENGLISH ____ FRENCH ____ SPANISH TOTALING $
__________________
TOTAL $ __________________USD
CREDIT CARD
PLEASE CHARGE MY CREDIT CARD $________________ USD
All credit card charges will be displayed and charged in US Dollars.
Daily Exchange rates will apply for all non-US credit cards.
_VISA _MASTERCARD _AMERICAN EXPRESS
CARD NUMBER EXPIRATION DATE SECURITY CODE
CARDHOLDER NAME CARDHOLDER SIGNATURE*
CARDHOLDER ADDRESS DAYTIME PHONE (please include country code)
Your signature authorizes your credit card to be charged for the total
payment due. AA World Services Inc. reserves the right to charge the
correct amount if different from the total listed above.
CHECK/MONEY ORDER (PLEASE DO NOT SEND CASH)
I/We enclose the following total registration fees $____________ USD.
Checks/Money Orders made payable to “General Service Board Convention.”
International Checks/Money Orders (Except Canadian) must be in U.S.
funds drawn on a U.S. bank.
WE SUGGEST DUPLICATING BOTH SIDES OF THIS FORM.
_E-MAIL _MAIL _PHONE:_______________________________________________
IMPORTANT:
Non-US Citizens who register for the 2010 International Convention are
responsible for having the appropriate documentation to enter the US.
See Passport Information for additional details.
_E-MAIL _MAIL _PHONE:_______________________________________________
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