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GCYPAA 2024 Pre-Registration Form
Event Summary:
Fall 2024!
Hotel Information:
- Stay Tuned!
Event
Address
:
TBD, Savannah, Ga!
Contact us at mgcypaa@gmail.com
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Email
*
Your email
Phone Number?
Your answer
Name?
*
Your answer
What city are you from?
Your answer
Sobriety Date?
MM
/
DD
/
YYYY
Willing to be of service?
*
Sure!
Sure! And I would love to donate a scholarship for someone - $10
No, thank you but I'd love to donate for someone - $10
No, Thank you! I'll just see you there.
Required
I understand payment is non-refundable
*
Yes!
Required
Refunds negatively impact host committees as they have to process additional fees along with the refund - Don't worry! If you do not attend the conference, your registration will turn into a donation and will be used as a scholarship.
Pre-Registration Options
*
Pre-Reg Fee - $10
Are you planning on using an alternate method of payment such as CashApp or Cash?
*
No! I would like to use my Card (3% Fee) or Paypal (3% Fee), or Venmo (3% Fee or @MiddleGCYPAA)
Yes! With Cash - Check in with Outreach Team - Must Be In Person!
Yes! Through Cashapp - $MiddleGCYPAA
Yes! With Check - Paid to the order of JangMi Forrester
No! I would like to receive a scholarship please!
Donations Here! - $
Don't worry, you don't have to donate! This just allows you the option :)
Your answer
Any special accommodations or comments?
Your answer
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