Donations

Do not use this form for registration, shirts or golf.

AMG Retreat Golf

-None- No Golf $50 – Golf sign-up

AMG Retreat T-shirt

-None- No T-shirt $25 – T-shirt (M) $25 – T-shirt (L) $25 – T-shirt (XL) $25 – T-shirt (2X) $30 – T-shirt (3X) $30 – T-shirt (4X) $30 – T-shirt (5X)

Sobriety Date

Phone

Name *

Email *

Status *

New Escalated On Hold Closed

Case Origin *

-None- Yes, I'm a member. No, I'm not a member. 2025 AMG Retreat

Type

-None- Club IGCO AMG Retreat Holland Alano Association d1a48 WER Events

Case Reason

-None- User did not attend any training. Complex functionality Existing problem Instructions not clear. New problem AMG Retreat

Full Name on the Payment Account

Payment Reason

-None- Donation Only Scholarship Request No Registration – ONLY T-shirt and/or Golf $245 – Registration + 2 nights + 5 meals $165 – RV Registration + 5 meals $95 – RV Guest Registration + 5 meals

Total Amount to pay on Next Step *

Special Requests

?

No roommate, credit card name if different than yours, special diet, etc…

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