CCYPAA

June 10, 11, 12, 2011

Pueblo Convention Center

320 Central Main Street

Pueblo, CO 81003-4258

Hotel rate at the Marriott Pueblo for CCYPAA 2011 is $89.00 per night per room + 11.7% tax.

Make reservations directly with the Marriot: 110 West 1st Street, Pueblo, CO 81003, (866) 706-7815 .

Mention CCYPAA 2011 for the special convention rate. You must make your reservations by May 19,

2011 to guarantee the CCYPAA Rate.

CCYPAA 2011 Registration

Name: _________________________________________________ AA_____ Al-Anon_____ Friend_____

This is what I want on my nametag: _______________________________________________________________

Address: ___________________________________________________________________________________

City: ________________________ State: ________ Zip: ___________ Phone: ____________________

Email: ______________________________________________________________________________________

If registering more than one person with this form, list ‘em:

Name: __________________________________________________ Nametag: ________________________

Name: __________________________________________________ Nametag: ________________________

Registration: $20.00 per person

Procrastinators: $25.00 at the door

Extra donation: ___________________

(make checks payable to: CCYPAA 2011)

Volunteer?

Well, sure I’ll help! ______

Naw, not this time. ______

Print and mail this form with your payment to:

CCYPAA 2011

PO Box 8641

Pueblo, CO 81008

CCYPAA 2011 Pueblo, Colorado June 10, 11, 12, 2011

You may either print this page or download the flyer below. Hope to see you all there! :)

CCYPAA REGISTRATION FLYER

CCYPAA
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