SA/S-Anon 2019 Sydney Conference Registration
June 14-16 2019 Stanwell Tops Convention Centre

Conference details www.saoz.net/events

Enquiries nswessayintergroup@gmail.com

Contact Details
One Registration form per person. Couples please complete 2 forms.
Given Name *
Your answer
Family Name *
Your answer
Phone number
Your answer
Email Address *
Your answer
Are you a snorer? *
Do you want couples room with a double bed *
If you are attending the conference with your spouse, do the two of you want to share a couples room (has a double bed)? (Note: there are very limited couples rooms. They will be allocated on a first come, first serve basis, or based on special needs)
Will you have children accompanying you? *
Fellowship *
Which fellowship are you a member of? If you are not yet part of either fellowship please email nswessayintergroup@gmail.com before registering.
Do you have any special dietary requirements? This is only if you have a strict dietary requirement that is essential to your health and well being (e.g. food allergy): not for likes and dislikes of foods. *
Your special dietary information must be advised on the form at http://www.thetops.com.au/files/resources/special-diets-form.pdf and emailed to nswessayintergroup@gmail.com by Friday May 24.
Do you have any special needs? disabled room?
Your answer
SA Members Only: To help us choose speakers and meeting chairs which sobriety length category are you in
Do you require assistance with transport to the venue? *
Members can be collected from Helensburgh Train Station, a short distance from the venue. Members requiring transport will be provided with a contact phone number.
Payment Method *
Westpac Banking Corporation Name: NSW Essay Intergroup BSB: 032274 Account number: 387202
If Paying by Direct Deposit or at Westpac branch we need to know who has made the payment. Put your name in the description that will appear on the SA account
Direct Deposit: eg Fred B QLD
Your answer
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