Holiday Inn Convention Center - Sheridan
1809 Sugarland Drive
Sheridan, WY 82801
Call Toll Free 1 (877) 672-4011

ROOM RATES  $69   1-4 people
Mention Upper Rocky Mountain Region Convention of NA
for discount room rates. (if registered by May 10, 2002)

Link to Map
In Sheridan, Exit I-90 at Exit 25 to Sugarland Drive


Name:

Pre-Registration $15  ____ @  _______

Phone:

Saturday Night Banquet $25 ___@  _____

Email:

Vegetarian ____  Non-vegetarian ____ 

Address:

T-shirts  $15 ____ @  _______

City:

Coffee Mug $10 ____@  _______

State:                  Zip:

Coffee Donation ($5 suggested) _______

Registration Form

Newcomer Donation _______

TOTAL________________

Mail to:
URMRCNA
P.O. BOX 40182
Casper, WY  82604

Please make checks payable to
URMRCNA