Early Registration Package*
(postmarked by May 31,2012)                  $99
(Will go up to $110.
Online Convention Registration
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2013 SW Regional Cocaine Anonymous Convention
Marriott Westchase Hotel October 18th-20th
CA is not affiliated with and does not endorse PayPal we use this only as a convenience for our members
Basic Registration includes:Includes admission to speakers,
workshops, marathons, pen and notepad
Full Registration Package
$65
Badge Name/Home Group
Basic Registration                  
                                       
$20
Badge Name/Home Group
Friday Entertainment             
                                          
$10
Saturday Night
Entertainment                        
                 
$15
Sunday Brunch                       
                                     
$35
T-Shirt  
 
Sizes
Scholarship Donation
 
Our Primary Purpose
All events(except marathon meetings) require
a "Basic Registration" badge at a minimum
Click Here to Download the Registration Form
To reserve your room, contact the hotel directly at
713.978.7400 or online at
www.marriott.com and mention
"TAS" to get the special room rate of $89+tax for a double/king
room  or $99+tax for a Jr. Suite.
Full Registration includes:Includes Basic Registration, plus
brunch, entertainment, cup and badge holder
Marriott Westchase 2900 Briarpark Dr.
 Houston, Texas 77042
For Information, contact:

Daryl Lynn S.
Registration Chair
312-493-0043
daryllynnscott@gmail.com

Susan J.
Convention Chair
713-447-7006
ssjohnson@gmail.com

Daniel G.
Outreach Chair
281-299-1675
dgillett4215@yahoo.com
Note: If you are registering for more than one person, after you insert "Badge Name/Home Group" and "Add to
Cart" you will be taken to the PayPal site, hit "Continue Shopping" on that site and you will be taken back to
registration site where you can add additional registration or ala cart items.