Membership Application

Please join us and become a member of Club 12. We’re glad to have your support.

Tradition Seven clearly states our personal responsibility in keeping the “Doors Open”.

“Every A.A. group ought to be fully self-supporting, declining outside contributions.”

First Name (required) :
Last Name (required) :
Sobriety date (required) :
Your Email (required) :
Daytime Phone (required) :
Evening Phone (required) :
Mobile Phone (required) :
Address (required) :
City, State, Zip (required) :

===== Recurring Billing =====================

Credit Card Type (required) :
Name on Card (required) :
Billing address (required) :
Credit card info collected by phone, next step.

===== Or, Checking Account Information =====================

Name on Account (required) :
Account Number (required) :
Bank Routing Number (required) :
Is this account Business or personal?
Driver's Licence Number (required) :
Please enter the following: captcha

To enter billing information, see our office or call…circlepeople-400

Club 12
102 Thames
San Antonio, TX 78216
Phone: 210-344-8981
Fax: 210-344-1778
E-mail Address:
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