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ROUND UP REGISTRATION
Stockton Seaview Resort and Hotel
401 South New York Road
Galloway, NJ 08205

To book your room, call the hotel at (855) 894-8698 and mention the group Waves Roundup
or go to Hotel Registration on our website
*General Conference Preregistration Rates*
AA Registration
Attendance at Conference, enter # of attendees, each @
AA Registration - Guest
Attendance at Conference, enter # of attendees, each @
Al-Anon Registration
Attendance at Conference, enter # of attendees, each @
Al-Anon Registration - Guest
Attendance at Conference, enter # of attendees, each @
Scholarship Donation
Scholarships donations, increments of 5.00
** Registration at the door is $30. Please consider donating the $5 preregistration discount! **
*Meal Options*
Friday, November 15
6:00pm Friday Dinner
Saturday, November 16
6:00pm Banquet Dinner
** Please note - Dinners are NOT included in the room rates **
*TOTALS*
** GRAND TOTAL **
*Registrant & Personal Information*
E-Mail:*Valid e-mail is required
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Phone:*
Homegroup
Name to Appear on Badge - AA*
Name to Appear on Badge - AA Guest*
Name to Appear on Badge - Al-Anon*
Name to Appear on Badge - Al-Anon Guest*
More than one AA or Al-Anon registrant? Enter Name for Badge and Home Group here
Date of Sobriety:
*Please click submit to verify above information and to Pay*
-OR- print & mail Payment to ROUNDUP, PO BOX 268, LINWOOD, NJ 08221
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