68th Georgia Pre-Paid Convention
Registration for 68th Georgia Pre-paid Convention (Jekyll Island)
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Full Name *
Email Address *
Phone number *
Mailing Address *
Name Tag Name *
Home Group Name
Sobriety Date
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Affiliation
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Are you wanting to participate in the Golf Tournament? ($50 extra) *
Are you wanting to attend the Saturday Night Banquet? ($35 extra) *
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