Please print out this PRE-REGISTRATION FORM

Pre-Registration must be received by April 20, 2008

 

Name___________________________________________

Address_________________________________________

City, State, Zip____________________________________

Name wanted on badge_____________________________

Home Group (if wanted on badge)_____________________

AA_______ Al-Anon _______ Alateen _______ Other _______

 

Mail this form along with $18.00 to:

Capital City Conference PO Box 30135 Des Moines, IA 50310