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JACNA V

City of Hope

Joliet Area Convention Of Narcotics Anonymous

August 2002



 

"Early Bird"
 Convention Registration

 

Send Registration to:
JACNA V
Joliet Area Convention NA
P.O. Box 336
Joliet, Illinois 60433

$10 per person until March 31, 2001

Please send tapes:  5 yrs Main Speakers, 3 yrs Workshop speakers
1 yr Workshop Chairperson (Circle one)
DO NOT SEND CASH
For more information Contact:
Chair:  Richard J. (815)723-6156
Registration Chair: Michelle A. (815)740-1995
Co-Chair: Viola C. (815)727-9185

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Name: ______________________________________________
Address:____________________________________________
City:_______________State_________Zip_______________
Number of registrations ________$10.00x= $_________
Newcomer Donation _________              $_________
.                                 Total  $_________

Print this page to mail in your registration

 

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This page was last updated 09/24/09.