Missouri State Convention 2021
“AA in a Time of Change”
July 30th  thru  August 1st

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Please complete this form for registration. Online payment will be completed thru PayPal. A transaction fee of 3.01% plus 30¢ for the first person and 3.01% for each additional person will be added to your registration total. Your registration package will be waiting upon your arrival. Registration and payment confirmation will be sent to you via email. For Questions please contact us through our "Contact Us" page. We look forward to seeing you there.

If you are registering for more than one person
please make sure the credit card information
matches the contact information entered on this page.

If you are using another credit/debit card the payment information may be changed when you are transfered to the paypal site.

Registration and Credit/Debit Card Information
First Name: Last Name:
Address: Apt or Suite:
City: State: Zip Code:
First name and Last Initial will be on the name badges
fill out OTHER name ONLY if you want something different
Other name on badge: AA Al-Anon
How many people are included in this registration (max 4)? You will add their info next. One Two Three Four