first 200 registrants The Impossible Dream: A History of ... · Pre Registration: $45 March 1st...
2
Pre Registration: $45 March 1 st 2018 - August 31 st 2018 Registration: $55 starting September 1 st 2018 The first 200 registrants will also receive a copy of The Impossible Dream: A History of Narcotics Anonymous in New York Priority for ticketed events and limited space events – such as concerts, comedy shows, or special breakfasts – will be by date of registration with notification via email (as soon as the events are confirmed). Sheraton New York Times Square Hotel 811 7th Avenue (@ 53rd Street) New York, NY 10019 You can register online at https://newyorkna.org/convention/ You can also register at all convention fundraising events and at the GNYRSO For more information: 212.929.7117 [email protected]
Transcript of first 200 registrants The Impossible Dream: A History of ... · Pre Registration: $45 March 1st...
Pre Registration: $45 March 1st 2018 - August 31st 2018
Registration: $55 starting September 1st 2018
The first 200 registrants
will also receive a copy of
The Impossible Dream:
A History of Narcotics Anonymous
in New York
Priority for ticketed events
and limited space events –
such as concerts, comedy shows, or special breakfasts –
will be by date of registration with notification via email
(as soon as the events are confirmed).
Sheraton New York Times Square Hotel
811 7th Avenue (@ 53rd Street) New York, NY 10019
You can register online at https://newyorkna.org/convention/
You can also register at all convention fundraising events and at the GNYRSO
For more information: 212.929.7117 [email protected]
Pre Registration
Primary Registrant Name: _____________________________________________________________
Street Address: _____________________________________________________________________
City: ________________________________ State: ___________ Zip /Postal Code: ____________
Email Address (for Primary Registrant): _________________________________________________
Phone Number: ____________________________ Clean Date: ________________________
Additional Registrant: ________________________________________________________________
Email Address (for Additional Registrant): _______________________________________________
Phone Number: ____________________________ Clean Date: ________________________
Additional Registrant: ________________________________________________________________
Email Address (for Additional Registrant): _______________________________________________
Phone Number: ____________________________ Clean Date: ________________________
Or if # of Registrations: _____________ Method/amount of payment (check one)
Total Registration Cost: $ ____________ Cash
Donation for Newcomer: $ ____________ Check/Money Order
Total Amount: $ ____________ Credit Card
Card # _______________________________
Sec. ___________ Exp. Date:___________
Make Checks or Money Orders payable to GNYRSOwith ‘The Impossible Dream’ on memo line
Mail Checks to:
GNYRSO
154 Christopher Street
Buzzer 11, Suite 1A
New York, NY 10014
212.929.7117
FOR OFFICE USE ONLY:
REGISTRATION # __________________________
REGISTERED BY: __________________________
GNYSO TRUSTED SERVANT
