Convention Registration

KRCNA 40 — Kentuckiana Regional Convention of Narcotics Anonymous

1 Your Info

2 Payment

3 Confirmed

Your Information

Full Name *

Phone Number *

Email Address *

Street Address *

City *

State *

ZIP *

Number of Registrations * $25.00 per person — save $5 vs. at-the-door!

Newcomer Donation (optional)

Help send a newcomer to convention

1 registration × $25.00 = $25.00

Total: $25.00

Card Information *

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Thank you for registering for KRCNA 40. A confirmation email has been sent to .

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Registrations

Newcomer Donation

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