Please enable JavaScript in your browser to complete this form.Registration for PAIG Retreat 2021 Fill out the form fields below to register for PAIG's virtual retreat. Asterisked fields are required. UPDATE AS OF 8/31/2021 - When you click on the intended payment method (PayPal or check), details for each will be displayed below. Please follow instructions with regards to payment. Thank you for your understanding!Name *FirstLastEmail *PhoneLocation (City, State, and/or Country)Cost (Choose what you feel comfortable contributing.) *$10.00$15.00 (suggested)$20.00Other (Enter $25.00 or more)Other Amount:Please indicate your intended payment method *PayPalCheckIf you plan to use PayPal, please log into PayPal and use the Send / Send Money function and use the email address, PAIGRetreatTreasurer@gmail.com as the recipient.If you plan to pay by check, please make your check payable to PAIG OA and send it to: Shari Basch 2717 Susquehanna Rd Abington, PA 19001 Checks need to be mailed out by the retreat's start date in order to get the Zoom meeting details.* If you can not afford the cost, send an email to PAIGRetreatTreasurer@gmail.comAre you a newcomer (within first year of Program)?YesAre you willing to be of service? If yes, indicate your interest.Workshop Leader / Speaker (minimum of 6 months abstinence required)Zoom Tech Co-Host (* You can sign up either from the confirmation page or an email will be sent out with the signup link at a later date)Got talent? Yes, I want to partake in Saturday night's Talent Show!MaybeDescribe your talentRegister
