2023 Region One Assembly Registration

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Please register by October 1, 2023.

Use a separate form for each person, including visitors. Each intergroup is entitled to one Representative for the first ten groups it represents, and one for each additional ten groups or any fraction thereof. An intergroup may also select Alternate Representatives. An unaffiliated group may select one Representative and one Alternate.

First Name*

Last Name*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Email*

Confirmation EmailUsed for Assembly-related correspondence.

Phone Number*

Emergency Contact Name*

First NameLast Name

Phone Number*

Relationship

In what capacity are you attending?*

What Intergroup are you representing?*

What Intergroup are you from?

What unaffiliated group are you representing?*

*

I affirm that I have been elected by this service body to represent them at the Region One Assembly

Is this your first time at Region One Assembly?*

Yes.No, I have attended in the past 9 years.No, but it has been 10 or more years since I've attended a Region One Assembly.

Are you willing to serve as a mentor to a Representative attending Assembly for the first time?

YesNo

Project Teams: All Representatives are expected to serve on a project team during the year after Assembly. Visitors are encouraged and welcome to join a Project Team! (see descriptions below)

Assembly Notebook: Help our next Assembly run smoothly by providing a complete, accurate, and easy-to-use Assembly Binder. Include amazing resources to strengthen our meetings, Intergroups, personal recovery and Region One as a whole. Consider creating a resource section to go with the theme of Assembly.

Budget, Finance & Delegate Support (BFDS): Assist the Treasurer in the review and management of Region One’s financial health and wellbeing, create and maintain a yearly budget, and support as much representation from our Intergroups at Assembly and WSBC as possible within the budget.

Bylaws: Review and propose changes (if needed) to Region One Bylaws and Policies, and assist those submitting motions to Assembly, ensuring that motions brought before the Assembly are clear and presented in proper form. If possible, serve on the Reference Committee at Assembly.

Newcomer Support: Provide resources to assist newcomers in their first year of membership in OA. Increase newcomer retention in Region One.

Public Information & Professional Outreach (PIPO): Share and generate ideas for carrying the message in newspaper, radio spots, television, and other media and to spread the word to professionals and help individual Intergroups do the same.

Sponsorship/Strong Recovery: Strengthen, support and equip sponsors in Region One, as well as assist in increasing the number of sponsors. Offer opportunities and resources for members to strengthen their meetings and their personal recovery.

My first choice for a Project Team:*

My second choice for a Project Team:*

My third choice for a Project Team:*

Type a question

May we include your name, email and phone number in the Assembly contact list?*

YesNo

The Nominations Committee meets beginning in April of 2024. The team publicizes Board positions open for election at Assembly, encourages nominees for those offices, and assists in the election process at Assembly. Are you interested in being a member of this committee?*

Yes.Not sure--check back with me next Spring.Not at this time.

I am interested in service on the Region One Board and would welcome outreach from the Nominations Team.*

Yes.Not sure, but open to learning more about service opportunities.Not at this time.

Thank you for registering for 2023 Region One Assembly {typeA}. Please select a payment method.

Payment Method

CheckPayPal/Credit Card

Select a Registration Option (Full Registration Includes Thursday luncheon and Assembly Notebook)*

Board Members and ParliamentarianRepresentatives - Full Registration $55.00Visitor - Full Registration - $55.00Visitor Registration and Notebook Only - FREEAdditional Assembly Notebooks - $8.00

How many notebooks would you like?*

To Pay By Check.

Thank you for registering {typeA}, your total so far is: $ {total}.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!

R1 Notes:

Thank you for your donation {typeA}

Please mail your check for $ {total}.00 in US Dollars to:

Region One Assembly Registration

P. O. Box 23235

Tigard, OR 97281 United States

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

Assembly Notebooks

Donation

Total

Registration

# Luncheon Tickets

# Assembly Notebooks

My Products

Board Members and ParliamentarianFull Registration

$ Free

Representatives - Full Registration $55.00Includes Thursday luncheon and Assembly Notebook.

$55.00

Visitor - Full Registration - $55.00Includes Thursday luncheon and Assembly Notebook.

$55.00

Visitor Registration and Notebook Only - FREENo Luncheon

$ Free

Additional Assembly Notebooks - $8.00

$8.00 Quantity

7th Tradition Contribution to Region One - Multiples of $1.00Thank you for helping us carry the message!

$1.00 Donation Amount: $

Total

$0.00

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

Please click one of the PayPal options to complete payment and submit the form.