Alternate Registration Form If you wish to pay by check or pay at the door, fill out this form instead of the one above. Checks should be sent to Round Up Treasurer1517 Cornell AveBerkeley, CA 94702 Register without Paying Step 1 of 3 33% Name* First Last Phone (cell preferred)*Email* I would like to come to the Friday evening meeting before the Round up* Yes No I will be attending the Round Up on* Saturday Sunday Both I want to be of service. I can help out with (check all that apply) Set-up Registration Coffee & Soda Transportation Housing Clothing Swap Clean-up Other What would you like to help with? Would you like to be a speaker or lead a breakout session?* Speaker Breakout Session Either Not this year, thanks Note: If we end up with more people than slots to speak/lead breakout sessions we'd love to consider you for next year!Breakout Session Topic Abstinence Date MM slash DD slash YYYY Questions or Special RequestsAdd me to the Round Up Email List* Yes No This makes it easier for us to keep everyone up to date with information about schedules, sessions, accommodations, etc.To receive the pre-registration discount, mail a check for the correct amount ($15 for Saturday, $5 for Sunday, $20 for both days) to Round Up Treasurer 1517 Cornell Ave Berkeley, CA 94702 You can also wait and pay at the door. The suggested donation at the door is $20 for Saturday, $10 for Sunday.NameThis field is for validation purposes and should be left unchanged.