2018 CA SOUTHWEST REGIONAL CONVENTION
REGISTRATION FORM 

“CA 2018 Annual Southwest Regional Convention”

April 20 - April 22, 2018
Westin Dallas Park Central Hotel
12720 Merit Drive
Dallas, Texas 75251

Hotel Registration can be completed by going to the link on the CA North Texas website please, or by calling the Hotel (at 972-385-3000) and asking for reservations and tell them you are a part of the CA 2018 Regional Convention starting on April 20, 2018

Please complete and submit online by April 10, 2018!

"Recovered, We Are"

calendar
calendar
Region *
Please Choose One: *
Would you like to lead a 12-Step meeting at the Convention? *
Would you be willing to do service at this year's Convention? *
Will you be staying at the Hotel? *
Dates You Are Staying at the Convention Hotel?
Thursday April 19Friday April 20Sat April 21Sunday April 22
YesNoYesNoYesNoYesNo
check yes or no please for each day
Please use the section below for the Convention events and total registration fees!
                   Please note that the Registration Fee is a suggested donation, all other charges are requred.
Please put quantity (number) in the boxes below for each item you would like to purchase!  If you opt for any of the packages, you will not need to separately select any of the A la Carte imems (registration, banquet, brunch and entertainment). Once you are finished with your selections, please hit "calculate" to see the balance due!  Note please, if there is no value for you to insert into the empty box, please insert zero in that box. *
Total
$0.00
Special Banquet Buffet with Salmon and Chicken, salad, potato, vegetables, rolls and coffee/tea) - select Salmon/Chicken Buffet or Vegetarian please so that we can plan accordingly
Men's T-shirt or Women's T-shirt
T-shirt Size
 
You may make your payment by check, money order, or credit card paypal.
Please do not mail cash.
 
After you complete the form, you will hit submit which will then take you to the payment page.
 
Please also note that the ability to register by check or money order ends on March 20, 2018.
Payment Type *
E-Signature Authorization: By submitting this form, I represent that the information submitted is correct and I authorize the credit card to be charged in the amount detailed above If appicable. *
 
ALL registration forms need to be completed April 10, 2018 or on site thereafter.
 
If you have any questions at all, please reach out to Vicki R., our Registation Chair, she can be reached at 214-478-3931 or by email at bnvrosamond87@aol.com
 
We look forward to seeing you. Thank you for joining us for this surely-to-be-memorable Convention!