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Online Registration Form

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  5. Online Registration Form

2026 Area 41 State Convention Registration

Please submit the online form below (preferred).

Or you may download/print a PDF Form (coming soon) and mail it to the 2026 State Convention Host Committee at PO Box 2263, Norfolk, NE 68701.

This field is for validation purposes and should be left unchanged.
Name(Required)
How many A.A. participants would you like to register?
Price: $25.00
How many Al-Anon participants would you like to register?
Price: $0.00
My Registration Includes:(Required)
Select all that apply.
Details for In Person Participants:
Add a row for each in person participant you are registering.
Name for Badge
City, State
A.A. or A.F.G.
 
Details for Virtual Participants:
Add a row for each virtual participant you are registering.
Name
Email to Receive Virtual Meeting Details
A.A. or A.F.G.
 
Option for A.A. Members: Would you like to make an additional 7th Tradition contribution to this event?(Required)
In keeping with A.A.'s Seventh Tradition of self support, we accept contributions only from A.A. members.
7th Tradition Contribution
Enter card number below, or choose “PayPal Checkout” for PayPal or Venmo.
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
  

Information and Help available 24/7877-AA-OF-NEBNebraska Hotline for Alcoholics Anonymous (877-226-3632)


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  • Home
  • Newcomer Info
    • Bridging the Gap
  • Meetings
    • Search Area 41 Meetings
    • Meeting Guide App
    • Forms
  • Events
    • Calendar
    • New Event Form
  • A.A. Resources
  • Area 41/Service
    • About Area 41
    • Area Assembly Documentation
      • Member Services (Protected Documents)
    • Delegate’s Corner
    • Area Officers and Service Positions
    • Committees
    • Districts
    • Area 41 Service Resources/Forms
    • Contact Us
  • Español
  • Contribute
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