Capital City Conference Stoney Creek Inn 5291 Stoney Creek Court, Johnston, IA November 7th & 8th, 2014 www.capitalcityconference.org FRIDAY (11/7) 8:00pm Register Online! Bill S., Roswell, GA Ice Cream Social AA SATURDAY (11/8) 9:30am Libby H., Philadelphia, PA 1:00pm 3:00pm Palmer G., Miami, FL Danny B., Austin, TX 7:15pm Raffle 8:00pm Bobby C., Philadelphia, PA AA AFG AA AA Stoney Creek Inn 5291 Stoney Creek Court, Johnston, IA Located moments off I-35/I-80 Ask about our conference rates (Thru 10/11/14) 515.334.9000 Hospitality rooms available throughout the event Pre-registration by October 24th is $18.00 (after that $20.00) PRE-REGISTRATION FORM PRE-REGISTRATION FORM Pre-Registration must be received by October 24, 2014 Pre-Registration must be received by October 24, 2014 Name___________________________________________ Name___________________________________________ Address_________________________________________ Address_________________________________________ City, State, Zip___________________________________ City, State, Zip___________________________________ Email ___________________________________________ Email ___________________________________________ Name wanted on badge___________________________ Name wanted on badge___________________________ Home Group (if wanted on badge)__________________ Home Group (if wanted on badge)__________________ AA / Al-Anon (circle one or both) AA Pre-Registration ($18 each): $________ Al-Anon Pre-Registration ($18 each):$________ Total: $________ AA / Al-Anon (circle one or both) AA Pre-Registration ($18 each): $________ Al-Anon Pre-Registration ($18 each):$________ Total: $________ ☐ I would like more information about volunteering at the ☐ I would like more information about volunteering at the conference. Please contact me at ____________________ conference. Please contact me at ____________________ Mail this form along with payment to: Capital City Conference PO Box 30135 Des Moines, IA 50310 Mail this form along with payment to: Capital City Conference PO Box 30135 Des Moines, IA 50310