KC Group 1 of Alcoholics Anonymous





Kansas City Group 1 of Alcoholics Anonymous


Registration is now open
KC Group 1 Anniversary Registration






Please complete this form.
Final financial transactions
will be completed
thru PayPal.

Credit/Debit Card Holder Information

Registration and payment confirmation
will be sent via email.
   Email:
   
   First Name:
   
   Last Name:
   
   Address:
   
   Apt or Suite:
   
   City:
   
   State:
   
   Zip:
   
   Phone:
   
   Other Phone:
   
    How many people are included
    in this registration (max 4)?
    You will add their info next.
 One      Two      Three      Four