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Area Service Committee Registration / Update Form

Thank you for updating your ASC's contact information with NA World Services.

Area Committee Mailing Address



*Your Name: (First and Last)	*Your Email:

*Committee Name:	*Address/PO Box:

*City:	*State/Prov:

*Zip/Postal:	Country:

Webpage URL address:	Area Helpline Number:

Helpline serves what area codes / cities?	What Regional Service Committee serves this ASC? (Use full name, no initials please)

Committee was formed in month/year?

Area Service Committee Contact
This is typically contact information and a mailing address of a stable NA member who can forward any communication from NA World Services to the ASC. This may or may not be a current ASC trusted servant. NA World Services frequently receives requests for contacts from professionals; this information will help us to better respond to those requests.


Name: (First and Last)	Address:

City:	State:

Zip/Postal:	Country:

Phone:	Email Address:

Area Service Office Address (if applicable)


ASO Name (Use full name, no initials please):	Address:

City:	State:

Zip/Postal:	Country:

Phone:	Email Address:

Contact Name: (First and Last)

NA World Services maintains contact information for the following trusted servants and subcommittees: Activities, Convention, Hospitals & Institutions, Literature Distribution, Literature Review, Meeting List, Newsletter, Phoneline, Public Relations/Public Information Information Contact, and Website. Please use the following section to forward any of the above contact information.


Name: (First and Last)	Position:

Address:

City:	State/Prov:

Zip/Postal:	Country:

Phone:	Email Address:


Name: (First and Last)	Position:

Address:

City:	State/Prov:

Zip/Postal:	Country:

Phone:	Email Address:


Name: (First and Last)	Position:

Address:

City:	State/Prov:

Zip/Postal:	Country:

Phone:	Email Address:


Name: (First and Last)	Position:

Address:

City:	State/Prov:

Zip/Postal:	Country:

Phone:	Email Address:


Name: (First and Last)	Position:

Address:

City:	State/Prov:

Zip/Postal:	Country:

Phone:	Email Address:

Additional Information

If you have any questions or concerns that are not related to this group's registration, please contact groupupdates@na.org

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