Registration Form | About Area 41

2025 Area 41 Reunion Registration

Name(Required)

First Last

Email(Required)

Phone(Required)

AA Registration (Required)

How many AA participants would you like to register?

Price: $25.00

AFG Registration (Required)

How many Al-Anon participants would you like to register?

Price: $0.00

My Registration Includes:(Required)

Select all that apply.

In Person Participants

Virtual Participants

Details for In Person Participants:

Add a row for each in person participant you are registering.

Name for Badge

City, State

AA or AFG

Details for Virtual Participants:

Add a row for each virtual participant you are registering.

Name

Email to Receive Virtual Meeting Details

AA or AFG

Total

Payment Method(Required)

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Phone

This field is for validation purposes and should be left unchanged.