2023 OA Region One Convention Registration

JOIN US IN SEATTLE

OCTOBER 13th - 15th, 2023

FOR A WEEKEND OF RECOVERY, FELLOWSHIP AND INSPIRATION

While filling out this form, you can change the text size on this page

First Name*

Last Name*

Address*

Address

Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

Email*

Confirmation Email

Is this your first year in OA?

YesNo

Welcome to Overeaters Anonymous {firstName}.

Would you like a free Newcomer's Pamphlet mailed to you?

Yes - please mail a Newcomer's Pamphlet to me at the address I entered above!No, thanks...I already have the Newcomer's Pamphlet.

No Problem {firstName}. We will send a pamphlet to {firstName} {lastName} at {address} right away.

NC Pamphlet Sent:

Date

Can you help during the convention?*

Meeting LeaderSession Speaker (minimum 1 year of abstinence)Other

Please tell us how long you've been in OA and your length of abstinence:*

Speaking topics you would be interested in (check all that apply):

Specific focus meetings you would be willing to lead (check all that apply):

Will you be needing Financial Assistance?*

YesNo

Will you be paying by Credit Card*

YesNo

Payment Options*

Credit CardCheck

No Problem {firstName}, just select your registration option and 50% will be applied to your total on checkout.

No Problem {firstName}, just enter the Greater Seattle Scholarship Code GSI50 into the coupon field and 50% will be applied to your total on checkout.

DOUBLETREE SUITES BY HILTON SEATTLE AIRPORT SOUTHCENTER

16500 SOUTHCENTER PARKWAY

1-206-575-8220

To book your hotel - Click Here

Note: After selecting 'Book A Room' you can edit the dates

Plated Dinner Menu

Starter

Northwest Salad

(Bleu Cheese on the side)

Whole Wheat Dinner Rolls & Butter

Entrée Options

Pecan Crusted Chicken Breast

(Herb Risotto, Pan Jus, Harvest Vegetables)

Foraged Mushroom Hash | V|GF|DF

(Red and Yukon potatoes, Garbanzo beans, Peppers, Onion,

Baby Spinach, Charred Tomato, Balsamic Glaze)

Dessert

Seasonal fruit bowl

Menu will include NO added sugar

Please select your dinner meal*

Pecan Crusted Chicken BreastForaged Mushroom HashFirst Year in OA - No Banquet addedOther

Registration Options

$ 0 First year in OA? Register as our guest! (No Banquet) $ Free

If you would like to purchase the banquet for $60 please add it below

Registration Only$125.00

Full Registration (Includes Banquet)$185.00

Friday attendance only$30.00

Saturday attendance only$90.00

Sunday attendance only$30.00

Add the Banquet$60.00

Is this your first year in OA? Are you bringing a guest? You may want to add the banquet

Additional Donation to Region One (Optional) - Multiples of: $1.00

Thank you for helping us carry the message.

Donation Amount $

Enter coupon

Total $0.00

Credit Card

To Pay By Check.

Select a Registration Option*

Thank you for registering {firstName}, your total so far is: $ {registration}.00

Would you like to make an additional donation to Region One?

YesNo

Additional Donation - Multiples of $1

Please enter your donation amount here. Thank you!

Please mail your check for ${finalTotal} in US Dollars to:

Region One Convention Registration

P. O. Box 23235

Tigard, OR 97281 United States

Please write your name and "Convention Registration" in the memo of the check. Your registration is incomplete until payment is received. Thank you.

Thank you for your donation {firstName}

Registration

Donation

Total

GSI50

Discount

Total After Discount

Final Total

Will you be needing a roommate?*

YesNo

Please enter what name/pronouns you would like on your nametag

Recording acknowledgement:*

I acknowledge that Convention sessions will be recorded and audio may be posted on the Region One website. I understand that if I choose to share at any session, my voice may be part of that recording.

We look forward to seeing you at Convention {firstName}, but understand that sometimes "life happens" and plans must change. In the event you are unable to attend, there are refunds available (minus a $10 processing fee) until September 25, 2023, and we thank you for your donation to help us carry the message.

REGION ONE CONVENTION REGISTRATION

Banquet and Accommodations

Credit Card