Mail check or money order and registration to:
SIRCNA 27
C/O Southern Idaho Region of Narcotics
Anonymous
1116 Vista Ave, Box 461
Boise, ID 83705
PLEASE REGISTER ME/US FOR SIRCNA 27
_________________________________________
Name(s)
There are no refunds of registration or paid event
tickets.
There are no replacements of lost registration
packages or event tickets.
No child care is provided at the event.
Transfer policy: any pre-registration package sold
or given away must have confirmation of that
transfer, in writing, presented to retrieve the
packet.
_________________________________________
Address
_________________________________________
City, State, Zip
________________________________________
Phone number
CREDIT CARD PAYMENT FORM
________________________________
Name as it appears on card
_________________________________________
Card Number
_________________________________________
Expiration date
_____________________
CVV (3 digit code on the back)
________________
zip of billing address
____________________________________
Phone number
OTHER QUESTIONS?
Email: [email protected]
Chair - Steve L.
208-866-8221
Vice Chair - Jessie S
208-949-0361
Programs - Julia P.
208-585-1058
Registration - Sue S.
208-340-1919
Hotels - James P
208-881-6450
Entertainment/Fundraising - Danny J.
208-353-0351
Merchandise - Kelly T.
208-724-2494
Hospitality - Sandy
208-713-5966
SIRCNA 27
FORGED FROM THE FIRE
APRIL 15,16,17, 2016
BOISE, IDAHO
WYNDHAM GARDEN BOISE
Why pre-register?
REGISTRATION FORM
3300 VISTA AVE,
BOISE, ID 83705
Phone: 208-343-4900
Room Rate $90
This rate is available for reservations made on
or before March 31, 2016
Pre-registration makes this and future
conventions possible. Funds are used to pay
for hotel facility reservations, deposits and
supplies. Without pre-registration funds, these
events would not be possible.
RAPID REGISTRATION BEFORE FEB 20, 2016 FOR
SPECIAL DISCOUNTED PRICING
Mention SIRCNA 27 to get this rate
YOU WILL BE ENTERED IN A SPECIAL DRAWING
Qty
Total
RAPID REGISTRATION
(INCLUDES ALL MEALS AND EVENTS)
_______ ___________
(CHOOSE A DINNER OPTION BELOW, NO MERCHANDISE INCLUDED)
$100 ON OR BEFORE FEBRUARY 20, 2016
IF YOU PRE-REGISTER-
BASIC REGISTRATION
_______
___________
INCLUDES WORKSHOPS, SPEAKERS AND NON-TICKETED EVENTS
FROM EXIT 53 (VISTA AVE) TURN
NORTH ONTO VISTA AVE, WYNDHAM
GARDEN IS ON THE RIGHT
RAFFLE ITEMS TO DONATE?
CONTACT DANNY J. AT 208-353-0351
WANT TO HELP WITH THE CONVENTION?
EMAIL US AT:
YOU COULD WIN THIS
$30 ON OR BEFORE MARCH 15 $35 AFTER MARCH 15
ENTERTAINMENT
SIRCNA 27 CUSTOM MADE 12” CLOCK
FRIDAY ENTERTAINMENT
$10 _______ ___________
SATURDAY ENTERTAINMENT $20 _______ ___________
MEALS
SATURDAY LUNCH
SATURDAY DINNER
$15 _______ ___________
$30 _______ ___________
CHICKEN
_________
BEEF
_________
VEGETARIAN _________
SUNDAY BRUNCH
$15 _______ ___________
Email: [email protected]
PRE-ORDER MERCHANDISE – must be ordered on
or before 3/15/16
ZIP UP HOODIE
$35 EA _______ ___________
Men’s Size(s) S
M LG XLG 2XL
3XL
CIRCLE SIZE(S)
HAVE REGISTRATION QUESTIONS?
Email:
[email protected]
BEACH TOWEL
(HOODIE AVAILABLE PRE-ORDER ONLY)
$35 EA _______ ___________
(TOWEL AVAILABLE PRE-ORDER ONLY)
LIMITED QUANTITIES AND SIZES OF CONVENTION
MERCHANDISE WILL BE AVAILABLE AT THE EVENT
NEWCOMER DONATION
__________
TOTAL
_____________
(Include check/money order OR complete credit/debit card
form on the back)