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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 address.

Click here for printable PDF form

or

Fill out and submit our online form below

Online Meeting Schedule Change & Application Form

*  Indicates Required Fields

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  (**) Special Interest Meeting  (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  (AL) Alternative Lifestyle  (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: 

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: April 26, 2007

06/24/08