Activities

Flyers for Activities

Celebration/Activity submittal form

* Indicates required field

Your First Name & Last Initial *

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Last

Your Email *

Choose ONE *

Clean Date Celebration NA Activity

Date of Activity or Members Clean Date (MM/DD/YY) *

First Name & Last Initial of Members Celebrating Clean Date *

First

Last

Years Clean *

Meeting Name *

Location (Add ADDRESS for the CLEAN DATE celebration or ACTIVITY) *

Time of Activity *

Comment *

Upload Flyer *

Max file size: 20MB

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