Conference Registration | Pills Anonymous

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Pills Anonymous Conference Registration

Please Register Below:

Suggested donation amount $10.00 for Zoom participants and $30.00 for in-person

DONATE

First Name

Last Name

Email

Select an Address

Attending: *

In Person

Zoom

Home Group

Sobriety Date

Previous Service Experience

Committees of Interest (Check all that apply)

Hospitals and Institutions Committee

Public Information Committee

Archive Committee

Big Book Committee

Online Communicatons Committee

PA Unity Committee

Finance Committee

Common Welfare Committee

Organizational Committee

Conference Committee

Convention Committee

Ad hoc Committee

Thanks for registering!

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