Registration Form - New York South Assembly Area

REGISTRATION
SuperEarlyBirdDeadline
Postmarked/on-lineby
April15th
EarlyBirdDeadline
Postmarked/on-lineby
May31st
RegularDeadline
Postmarked/on-lineby
July1st
NewYorkSouth
AssemblyArea
Al-AnonConvention
withA.A.participation
July14–16,2017
*****
First 66 to pre-register for the Discovery Convention and Hotel
room by April 15th AND pay for two hotel nights will be entered
into a drawing for reimbursement of one room night!
REGISTRATIONFORMINSTRUCTIONS
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Oneformperregistrant.Ifsharingaroom,includenamesofothersinthespaceprovidedonthisRegistrationForm.
Registrationwillbeconfirmedbye-mail(USPSmailifnoe-mailaddressisavailable).
Toregisterforahotelroom,bylaw,atleastonehotelregistrantmustbeatleast21yearsold.ExtraThursdayand/or
Sundaynightisatthesamerateastherestofyourbooking;ifaddedlaterit’sthefullregularrate.
AlateensOnly:Alateensbetweentheagesof10–18arewelcometoparticipateintheDiscoveryConvention.
ConventionregistrationfeeisFREEforAlateens.AparentorguardianmustaccompanyallAlateens.Permissionslips
andMedicalFormsmustbecompletedforallparticipatingAlateens.
Childrenunder10yearsofagearenotpermittedattheDiscoveryConvention.
Banquet:Thereisnopre-assignedBanquetseating.Participantswithspecialdietaryneeds(suchasKosher,nosalt,
vegan,etc.)mayindicatetheseneedsinthespaceprovidedonthisRegistrationForm.
NoalcoholisallowedattheDiscoveryConvention.Smoking,foodandbeveragesarepermittedindesignated
areasONLY.
ThehotelisNOTpet-friendly.Servicedogsareallowed.
Fullpaymentmustaccompanytheregistrationform.Makechecksormoneyorderspayable(U.S.Currency)to:
“NYSAArea–DiscoveryConvention.”Creditcardsareaccepted.Pleasecompleterequiredcreditcard
information/signaturewhereindicated.Mailregistrationto:DiscoveryConvention,P.O.Box126,OakdaleNY11769
(Cancellationsaresubjecttoa$20.00cancellationfee.Returncheckfeeswillbeappliedasneeded.NOREFUNDSafter7/1/17)
WeencourageDayTripperstopre-registerandsave$$$.
Toregisteron-linegoto:www.al-anonny.organdscrolldownto“DiscoveryConvention.”Completeallrequired
registrationinformationandinsertcreditcardinformationwhererequiredandsubmitform.Youcanalsodownloadthe
RegistrationFormfromthewebsiteandmailitinwithcheck/moneyorderorcreditcardinformation.
PleasepickupyourregistrationpacketattheDiscoveryConventionRegistrationTableuponarrival.
Pleasenote:FoodISallowedintheHospitalityRoom.Therewillbecoffee,teaandfellowshipavailable.
Forregistrantsstayingovernight,thereisarefrigeratorineachsleepingroom.
Wesuggestyoubringasweater,asthehotelmeetingroomstendtobechillyfromtheairconditioning.
RenaissanceWestchester
Hotel
80W.RedOakLane
WestHarrison,
NY10604
TENTATIVESCHEDULE(Hotelcheck-in–3pm~Hotelcheck-out–12noon)
Friday
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Registration
HospitalityRoom
Meetings OpeningMeeting
3:00pm–10:30pm
3:30pm–7:30pmand10:00pm–12:00am
4:00pm–6:45pm(Al-Anon,AlateenandA.A.meetings/EnglishandSpanish)
8:00pm~KeynoteSpeakers(Al-AnonAdultChildandAlateen)
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SunriseMeeting
Registration
HospitalityRoom
Meetings Banquet MainMeeting
Dance
7:00am
8:00am–10:00pm
8:00am–5:00pmand10:00pm–12:00am
9:15am–6:45pm(Al-Anon,AlateenandA.A.meetings/EnglishandSpanish)
6:15pm;Raffles7:45pm
8:00pm-KeynoteSpeakers(Al-AnonandA.A.)
10:00pm–12:00am
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•
SunriseMeeting
ClosingMeeting
7:00am
10:30am-KeynoteSpeaker(Al-AnonSpiritualSpeaker)
Saturday
Sunday
Therewillbeon-going,openAl-AnonandA.A.meetingsavailablefromFriday4pmthroughSunday9am.
Forquestions,pleasecontactSabrinaR.,ConventionCoordinator,bye-mailat:[email protected]
2017
DiscoveryConvention
July14–16,2017
Renaissance
WestchesterHotel
80WestRedOakLane
WestHarrison,NY10604
REGISTRATIONFORM
RATE(perperson)
EarlyBird
ByMay31st
Regular
fromJune1st–July1st
$15.
$20.
$25.
RegistrationforAl-Anon,A.A.,Guest
(AlateensareFREE)
ROOMRATE(perperson)
1night
2nights
$67.
$82.
$102.
$169.
$134.
$164.
$204.
$338.
Quad
Triple
Double
Single
SuperEarlyBird
byApril15th
BANQUET
KOSHERBANQUET
1night
$75
$72.
$87.
$107.
$172.
$75
$95.
$95.
2
nights
$144.
$174.
$214.
$348.
1night
2nights
$77.
$92.
$112.
$179.
$154.
$184.
$224.
$358.
$75
$95.
DayTrippersforAl-Anon,A.A.,Guest
(AlateensareFREE)
Registration
Registration&Banquet
Registration&KosherBanquet
SuperEarlyBird
EarlyBird
Regular
byApril15th
ByMay31st
fromJune1st–July1st
$15.
$20.
$25.
$90.
$95.
$100.
$110.
$115.
$120.
SaturdayEveningWalk-Ins,after4pm,are$10.
INCLUDESRegistration,MainMeetingSpeakers,Entertainment,SundaySpiritualSpeaker
Walk-InRegistration:CashorCreditCardONLY--Literature,Souvenirs,RafflesCASHONLY
NopersonalchecksacceptedduringDiscoveryConventionweekend
First 66 to pre-register for Convention and Hotel room by April 15th AND pay for two hotel nights
will be entered in a drawing for reimbursement of one room night.
PLEASEPRINT
FULL
NAME
Pleasecheckallthatapply.Circlewhereindicatedandfillincost.
AddTotal.Thenselectmethodofpaymentbelow.
SUPEREARLY
EARLYBIRD
REGULAR
BIRD
STREET
CITY
PHONE*
H
E-MAIL
MEMBER
()
AL-ANON
STATE
C
()
ALATEEN
ZIP
A.A.
REGISTRATION
ROOMCIRCLE:SingleDoubleTripleQuad
ROOMCIRCLE:1night(FriORSat)
$
ROOMCIRCLE:2nights(Fri&Sat)
$
ADD’LROOMsameratesapplyasinthe
restofyourbooking
$
CIRCLEADDITIONALNIGHT:ThursSun
Cot$25pernight–1cotlimit
$
BADGE
TOREAD:
GROUP/
CITY:
E-mailaddressisforconfirmationandConventionupdates.
Youre-mailaddresswillnotbesoldorusedforotherpurposes.
ThisisNewYorkSouth’s36thDiscoveryConvention.
Al-AnonFamilyGroupscelebratesits66thAnniversarythisyear.
$
Roomingwith:pleaselistfirst/lastnameofeach
BANQUETCIRCLE:ChickenSalmonVeggie
$
Kosher
Indicatespecialdietaryneeds(Kosher,vegan,nosalt,etc.)
TOTALCOST
$
______Enclosingcheck/moneyorderintheamountof$___________________.Pleasemakepayableto:NYSAArea–DiscoveryConvention
Mailregistrationto:DiscoveryConvention,P.O.Box126,Oakdale,NY11769
______CreditCard:VisaM/CAMEXDiscoverCard#_________________________________________________Exp_____/______CVcode:____________
Billing
Nameasitappearsoncard:_________________________________________________Signature:_______________________________________________________ZipCode:______________________
VolunteerattheDiscoveryConventionbycirclinganyofthefollowingCommittees:(YouwillbecontactedbytheCommitteeChairperson)
LiteratureRegistrationHospitalitySouvenirsRafflesFoodInterpreters(EnglishtoSpanish)AMIASWhereverneeded
Wouldyouliketochairameeting?Circleone:YESNOIfyes:EnglishorSpanish?*Mayweleaveaphonemessage?YESNO