Portland Area Narcotics Anonymous

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New Meetings and Meeting Changes
Meetings listed on the Portland Area schedule are now being asked to fill out a meeting schedule change & application form.  The form may be filled out online, filled out and submitted at Portland Area Service Meeting or printable version can be filled out and mailed to Portland Area Service Committee.

New meeting information and changes must be submitted to the Schedule Coordinator by the 15th of the month at the end of the schedule cycle.(If the current schedule is Feb. - March, changes would have to be in by the 15th of March to get into the next printed schedule. The schedule available for download is updated regularly with changes as they are submitted.
 

Click here for printable PDF form

 

Please use printable PDF form and mail to:

PO Box 42453 - Portland OR 97242

or email information to schedule@portlandna.com

 

 

 

 

 

 

 Online Form is currently not working

Fill out and submit the electronic form below


Online Meeting Schedule Change & Application Form

*  Indicates Required Fields

 
[FrontPage Save Results Component]

Today's Date:  mm/dd/yy *                                         Member of Portland Area?   Yes    No  *

Type of Change:  *   Group Name:  *  

Group Meeting Location:

Street Address: *

City:               *   State:       *    Zip Code:  - *

Additional Information: (Meeting place name, room # etc)

Group Meeting Information:

Please indicate whether meeting is open or closed and what day(s) the meetings are held.  Please indicate all format codes that apply:
Meeting Days Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Meeting Time
Enter ALL Format Codes that apply:  (*) Outside Portland Area  (#) Trimet/Max Lines include busline # 
(NALS) Narcotics Anonymous Literature Study  (C) Closed Meeting  (CF) Children Friendly  (CL) Candlelight Meeting  (M) Men's Meeting  (W) Women's Meeting  (Y) Youth Focus  (LGBT) Lesbian, Gay, Bi, Transgendered 
(H) Handicap Accessible   (SP) Spanish Speaking
Format Codes
Handicap Accessible Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Open or Closed Meeting? Open

Closed

Open

Closed

Open

Closed

Open

Closed

Open

Closed

Open

Closed

Open

Closed

Language(!)
Avg. Weekly Attendance

(!) If your meeting language is other, please specify here: 

(#) TriMet/Max Lines, Indicate bus line number if known: 

Yes! Register this meeting at NA World!

1st Contact: (First name & last initial OK) Required

Contact Name: *
Position: *
Address: *
City: *
State:  *
Zip Code: - *
Phone: *
Message Phone:
E-mail Address:

2nd Contact:  (First name & last initial OK) Not required

Contact Name:
Position:
Address:
City:
State:
Zip Code: -
Phone:
Message Phone:
E-mail Address:

Facility Contact Information: (Your phone if not known)

Name:
Phone:
Email

COMMENTS:


Copyright © 2004 Portland Area Narcotics Anonymous. All rights reserved.
Revised: 1/15/11

12/23/2013