Event Submission Form - New England Region of Narcotics Anonymous

Note: if this is a virtual event, you may enter “Online” for location, street address, city, and zip. You may enter the Zoom information in the Note.

Home Group
Area/Region*
Name
First Last
Email*
Phone
Event Name
Is this a Group Event?
- Check if yes
Start Date
MM slash DD slash YYYY
Start Time

: Hours

Minutes

AM/PM
End Date
MM slash DD slash YYYY
End Time

: Hours

Minutes

AM/PM
Event Location Name
Event Address*
Street Address Address Line 2 City State ZIP Code
Note
Flyer
Accepted file types: jpg, pdf, doc, docx, png, Max. file size: 20 MB.
Accepted file types: jpg, pdf, doc, docx, png.
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