NICA DELEGATE SIGN-UP
Registration for Group and Intergroup Delegates
Register as a Nicotine Anonymous Delegate
Every registered NicA group/meeting may select a delegate who will be given voting rights at the World Services Conference (WSC). Additionally, registered Intergroups may select one delegate. In addition to carrying the group’s conscience to the WSC, a delegate also assumes the responsibility of keeping their group informed of activities and news related to the fellowship of NicA as a whole. If you have questions about registering as a delegate, please contact secretaryemeritus@nicotine-anonymous.org.
NAME
*
First Name
Last Initial
EMAIL:
*
example@example.com.
DATE ELECTED
*
-
Month
-
Day
Year
Date
GROUP or INTERGROUP NAME
*
Provide the name of your registered group/intergroup you are representing. Groups/intergroups must be registered with Nicotine-Anonymous.org through https://www.nicotine-anonymous.org/
MEETING DAY/TIME/ZONE
*
When your group/intergroup meets: day of the week, local time and time zone
Please verify that you are human
*
Submit
Should be Empty: