<< Please select New or Renewal / update

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​<< Please select one Membership Type

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​<< Please select one Payment Type - PayPal Preferred - 

Single payment for Annual or $10 per month repeat billing 

options available on the  Home page

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​<< Please enter the total amount paid

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<< Please enter your full first and last name

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<< Please enter your mailing address, including apt, / suite

Required for New Application - Optional for Renewal


<< Please enter your City

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<< Please enter your State

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<< Please enter your Zip Code

Required for New Application - Optional for Renewal


<< Please enter your Birth Day including year

Required for New Application - Optional for Renewal



<< Please enter your Home Phone number, including area code

Optional - but please provide a Home or Mobile phone no.



<< Please enter your Mobile Phone number, including area code

Optional - but please provide a Home or Mobile phone no.



<< Please let us know if it's OK to send text messages about ARC events to your Mobile Phone

Required for New Application - Optional for Renewal


<< Please enter your eMail address - enter 'none' if none.

Required for New Application - Optional for Renewal





<< Please enter your AA Sobriety, HA/NA Clean, Al-anon or FA Serenity, or OA Abstinence Date

Required for New Application - Optional for Renewal



<< Service work is a key factor in Recovery! Please let us know if you are willing to help out with Club Service Opportunities. Keeping the Club tidy and help with Special Events and Open Speaker Meetings are always needed! 

Optional




<< Another very important Service Opportunity is to serve as a member of the ARC Board. We welcome new ideas and energy on the Board. Everyone has something to contribute! 

Optional



<< Almost done! Please click the box to confirm that you have read the Rules of Conduct of the ARC and agree to abide by all ARC policies. You also understand that membership may be suspended by the Board for any and all infractions. Furthermore, you understand that membership will be forfeited in the event of a relapse.

Required




<< Please click on the SUBMIT button to send your application


Please don't forget to send in your Membership Dues - Single payment for Annual or $10 per month repeat billing options available on the  Home page

Thank you for becoming a member of, or renewing your membership with the Antioch Recovery Club. Memberships play a HUGE part in helping keep the doors open to this vital community resource.  Also, being a member of the ARC has several benefits:

  • Discount on food at open speaker meetings

  • Use of the Club during operating hours, 6 am-12 Midnight, 365 days a year!

  • Access to free Wi-Fi in the Club

  • A place to work with sponsee's or just have a safe and quiet place to meditate, read, etc.

  • Opportunities to serve on ARC committees as well as ability to serve on the ARC board

  • TWO FREE TICKETS TO THE ANNUAL ARC “CHOOSE RECOVERY” BANQUET JAN 28th, 2017! This year again featuring the return of comedian Mark Lundholm!

  • And - your Membership helps to keep the doors open!


Please fill out the form below and click on the SUBMIT button at the bottom.


​​          Fields with an * are required

ARC Membership Application / Renewal Form


311 W Depot Street, Suite C
Antioch, IL 60002

For Website Feedback or Problems please email: antiochrecoveryclub@gmail.com