2022 Nebraska SA/S-Anon Retreat Registration

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Featured Speakers: Harvey & Nancy from Nashville, TN, and Angie & Kevin from St. Joseph, MO

Date: Saturday, August 27th, 2022, from 8:00 am to 4:30 pm.
Address: 2640 R St, Lincoln, Nebraska 68503
In-Person Registration Fee: $35
Zoom Virtual Registration Fee: $10

Email *

Hello!

We can't wait to see you at the retreat. Fill out all questions and use the question box at the end of this form if you have any questions or comments about the retreat or retreat registration.

You will receive a confirmation email after completing this form.

First Name *

Last Name *

Phone Number *

I am a member of *

S-Anon

Other:

How did you hear about our retreat?

SA/S-Anon Meeting

Friend

Flyer

Online

Other:

Clear selection

Where are you visiting us from? (What city & state)

I will be attending the retreat *

in person ($35 Registration )

virtually via Zoom ($10 Registration Fee)

Payment Instructions

This registration form does not handle payments. After completing this form, you must pay the retreat registration fee of $35 (or $10 for virtual attendance) by using Venmo, mailing a check, or paying in person on the day of the retreat.

Please make all Venmo payments to Chris L. His Venmo username is @CLnebraska, and the last four digits of his phone number are 5876 (In case you need to verify). You can also scan the Q.R. code below.

Use the following address to send checks. Make all checks payable to "S.A. Nebraska." Please include a printed copy of your registration confirmation email or a note with your name saying that you are paying for the 2022 SA/S-Anon Retreat.

Nebraska S.A.
P.O. Box 30581
Lincoln, NE 68503

You can pay at the door if none of these payment methods work for you.

Chris L's Venmo Account (5876 last 4 digits of phone number)