Delegates Day Registration 2025 Delegates Day Registration "*" indicates required fields Name* First Last Phone*Email* Group #*Name of Group*District #*Group's Meeting Location (City)*To search for the group # go to: https://al-anon-az.org/membership/member-group-records-corner/How Will You Be Attending?* In Person Zoom Please Select Your Attendance Position(Check all that apply) Hold down “Control” button to select multiple options on PC/Mac.DRCoordinatorLiaisonOfficerInterested MemberGROtherPlease State Other Position*Special Lunch?If needed, check one or both that apply Vegetarian lunch Gluten Free lunch Spanish Interpretation Requested Yes No Mail-In Payment Date (Treasurer Only)* MM slash DD slash YYYY Amount Paid (Treasurer Only)*Payment*Al-Anon Registration (GR, DR, Liaison, Interested Member)Alateen RegistrationArea Service Members (Area Coordinators, Officers, and Past Delegates)Would you like to make a 7th tradition contribution? Yes How much would you like to donate? Total Payment Method*Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged. Δ
