Registration Form

Registration Form
To register online: go to www.sriroundup.org or make checks payable to SRI Special Events
Checks may be paid in person or mailed to: SRI, 3215 E. Thunderbird Road, Suite B, Phoenix, AZ 85032
Please direct all registration questions to the Registration Chair, Robbin B.at [email protected]
#1 Last Name:
*First Name:
Badge Information; e.g., Home Group, Sobriety Date, AA, Al-Anon, City/State ~~ Oldtimer? Add sobriety date please
Email Address:
Contact Phone:
Interested in being a volunteer?
#2 Last Name:
*First Name:
Badge Information; e.g., Home Group, Sobriety Date, AA, Al-Anon, City/State ~~ Oldtimer? Add sobriety date please
Email Address:
Contact Phone:
Interested in being a volunteer?
See full Schedule of Events at www.sriroundup.org
Registration is Required to Attend ALL EVENTS**
Registration required for all Speaker Meetings, Friday Night Comedy Show, Saturday Night Banquet & Entertainment**
Pre-Registration
Registration at the Door
$ 25.00
$ 30.00
Saturday Afternoon BBQ & Pool Party
Includes hamburger or hotdog, a side, toppings, dessert & beverage
Adult/Child:
$ 15.00
Saturday Evening Banquet
Individual:
$ 45.00
Choose one (1) entrée per paid banquet ticket
Table of 10:
$400.00
- Sonoran Marinated Grilled Flank Steak………………………..……………………… # - Beef
- Garlic Herb Roasted Chicken Breast w/Rosemary & Shallot Demi-Glace…………. # - Chicken
- Grilled Portabella Mushroom w/Chef’s Choice of Farm to Table Vegetables……. # - Vegetarian
The banquet tables will remain in place for the Saturday evening speaker meeting as preferred
seating for those purchasing a banquet ticket.
Saturday Golf Tournament
Includes golf at McCormick Ranch Golf Club with a Buffet Lunch ~ 7 a.m. shotgun start
Please direct all golf questions to, [email protected] or (602)488-6220
Sign up foursomes online at www.sriroundup.org
Individual
$ 80.00
Per Scholarship
$ 25.00
Registration Scholarship Donation
TOTAL ENCLOSED
Contacts:
Event Chair:
Banquet Chair:
Raffle Chair:
Golf Chair:
John O. ~ 480-297-1980 or [email protected]
Paul R. ~ 570-574-0488 or [email protected]
Heide P. ~480-628-6187 or [email protected]
Mark ~ 602-488-6220 or [email protected]
**Registration is not required for Marathon Meetings and Golf
SRI 27th Annual Summer Roundup
August 12,13&14, 2016
Chaparral Suites
5001 N. Scottsdale Rd
Scottsdale, AZ 85250
*Page15,AlcoholicsAnonymous
Join us for Fun &
Fellowship AA Speakers
Marathon Meetings
Comedy Show
Old Timers Meeting
Saturday BBQ & Pool Party
Golf Tournament
Banquet
Dancing with DJ & Karaoke
Clif G.
Oklahoma City, OK
Allison C.
Santa Barbara, CA
Discount room packages are available. Contact Chaparral Suites at 480-949-1414 or
800-528-1456 or www.sriroundup.org.
Use code SRI 2016 Annual Round Up for the group rate of $99.00