Registration Instructions

Fill out Registration Below completely to help the Host Committee fulfill your requests. Only ONE Registration per form please! (Multiple Registrations need Multiple Forms)

Registration not valid until Payment received.

Online:

  • Fill out Registration form completely ( Mandatory Fields must be completed before Form will submit )

  • To Pay OnLine Click Submit Form and follow instructions in PayPal Window that will Open. Login to your PayPal Account to Pay with PayPal.

  • To Pay With Credit Card:  Click Submit Form and enter Credit Card Information (AMEX-Visa-Mastercard-Discover) below  “PayPal Guest Checkout” and follow Instructions. (This will simply use your credit Card not a PayPal Account)

  • *** Please check Box indicating your Payment Type choice on the Registration Form. ( Mandatory)

  • To Pay with Cheque or Money Order :  Mark Box next to Cheque or Money Order in Payment Section. Make cheque payable to “ICSAA 2020″ and Mail along with Printed Form filled out, to :

  • Gregg Ottinger 13503 W. 47th Terrace- Shawnee, KS 66216

Mail -In :

2020 International Conference Secular AA

Registration Form for ICSAA 2020
  • Person Attending Conference - ONE REGISTRATION per form. Multiple Registrations require Multiple Forms.
  • Give complete Mailing Address
  • Your Registration Information will be sent to email address below
  • Enter complete number (Including Country Code)
  • Date Format: MM slash DD slash YYYY
  • Please enter your Home Group Name (optional)
  • Please select the information you wish to show on your ICSAA 2020 Conference ID Badge. Click on each Item you wish to display. These will appear on your Name Badge.
  • Please Check the box/s next to your selection
  • Would you Volunteer to lead an AA Meeting on behalf of your Group?
  • Call the Central Reservations number, 1-888-421-1442, and refer to “Secular AA” or “ICSAA 2020” to get the Conference rate of US $129/night. An on-line reservation link will be available and posted by October 30, 2019 (This is Information only and NOT a Hotel Reservation)
  • ARE YOU INTERESTED IN TAKING PART IN ACTIVITIES OUTSIDE THE OFFICIAL CONFERENCE TIMES? ( Click again to add more choices below.)
  • Do you have any food sensitivities/preferences?
  • Fee covering Conference Session Recording Expenses
    Price: $5.00
  • Help with conference expenses - Enter amount as $0.00 (example)
  • Registration must be paid in US Dollars..** If paying in foreign currency PayPal will make the conversion. (Only ONE PAYMENT per Entry Please) - PAYMENT OPTIONS: Pay on-line by PayPal Account using the PayPal Payment Gateway (preferred option)---Pay by Credit Card using PayPal Gateway.(Guest Check Out) If your Paying Check or Money Order mark appropriate payment type box. and Mail in . Use downloadable .PDF Form at Bottom of page. Please indicate you will Pay by Cheque or M.O.: Make payable to: ICSAA 2020. Send with this form to Gregg Ottinger 13503 W. 47th Terrace Shawnee, KS 66216
    Price: $125.00
  • Indicate type of payment below so we can match your Payment to Registration. (Mandatory)
  • Total Amount Submitted (Includes $5.00 for Recording)
    $0.00
  • This field is for validation purposes and should be left unchanged.