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Springfield Virtual Meetings

Simply C.A.
Sundays at 5:30 pm
ID: 352 872 198
PW: 056129

2020 MWRC

2020 Midwest Regional Convention

OCTOBER 30 – NOVEMBER 1, 2020

Renaissance Airport Hotel – $109 Room Rates
St. Louis, MO
9801 Natural Bridge Rd.
888-724-9250

Speakers!
Marathon Meetings!
Entertainment!
Memorabilia!
Fellowship & Fun!

2020-MWRC-Mail-in-registration-form (PDF)

For more information call:

Harriet W. at (913) 948-1921

Dwanna R at (314) 367-0574

2020 Midwest Regional Convention

If you are human, leave this field blank.

Full Name *

Address *

Address

City

State/Province

Zip/Postal

Country

Phone *

Email *

Checkboxes

C.A. Member

Co-Anon

Guest

Name Badge - Line 1

Name Badge - Line 2 (Home Town or Group)

Special Needs? Explain Here

Wish to be a Volunteer?

Check Here If Willing to Volunteer At Convention, (i.e. Marathon Meeting Chair/Speaker; Greeter; Registration or Outreach Desk; Hospitality; etc.)

Early Registration (Before Sept 10, 2020)

Registration Fee - $20

Friday Night Entertainment - $10

Saturday Dinner Banquet - $45

Chicken

Salmon

Vegetarian

Saturday Night Entertainment - $10

Sunday Breakfast - $30

OR - Total Package (Save $10) - $105

Total Early Registration Amt. $ *

Late and On-Site Registration (Sept 11 - Oct 10, 2020)

Registration Fee - $25

Friday Night Entertainment - $10

Saturday Dinner Banquet - $45

Chicken

Salmon

Vegetarian

Saturday Night Entertainment - $10

Sunday Breakfast - $30

OR - Total Package (Save $10) - $115

Total Late / On-Site Registration Amt. $

Convention Tee-Shirts Now! Guarantee your size - Pre-Orders On Early Registrations Only!

Small - $20

Medium - $20

Large -$20

X-Large - $20

Double X-Large - $22

Triple X-Large - $23

Quad X-Large - $24

Colors (Writing is in White) C.A. Logo on Right Sleeve *

MIDNIGHT NAVY

BLACK

Style*

V-NECK - SHORT-SLEEVED 90/10 PRESHRUNK T-SHIRT

CREW-NECK - SHORT-SLEEVED 50/50 PRESHRUNK

Total $AMT of Shirts Ordered $:

Coffee Donation (suggested $5)

Newcover Donation $

Online Processing Fee

3.0% of your total registration amt.

Your Total Amt. to be Submitted

Calculation of your Total Amt., including online the processing fee.

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