Gopher State Roundup :: Pre-Registration

For advance registration, fill out and print this form and mail, with check or money order to:

Gopher State Roundup XXXVI
PO Box 65295
Saint Paul, MN 55165-0295

Fellowship:

AA AFG Alateen
Other

Home group:

Full name (First & Last):

Name to appear on name badge:

Address unit and number:

Street address:

City:

State/Province:

Zip code:

Amount enclosed:

One registration fee admits a member of AA, AFG, or Alateen to all Roundup activities.

Ages	Contribution per person
Teenagers (13-17)	TBD
Adults (18+)	TBD

Book, modify, or cancel your guest room reservations early, by using the hotel's Gopher State Roundup Group Reservations site.

Indicate your reservations are for Gopher State Roundup.