CT Region of Narcotics Anonymous
PO Box 1817
Meriden, CT 06450
Work: 1 (800) 627-3543
email@email.com

Call the Connecticut Region of Narcotics Anonymous Statewide phone line. 1 (800) 627-3543 24 hours a day, 7 days a week!

Connecticut Regional Schedule
Meeting Information Form

Select one:    New Meeting    Meeting Change    Meeting Folded

Today's Date: 

Location Information
Town: 
Facility Name: 
Room Number: 
Street Address: 

Meeting Information
Area: 
Group Name: 
Meeting days: 
Meeting Times: 

Meeting Formats (check the appropriate boxes)
  BST = (Beginners Step 1,2,3)
BT = (Basic Text Discussion)
C = (Closed, For Addicts Only)
CH = (Closed, Holidays)
CL = (Candlelight)
DC = (Childcare Available)
ES = (Espanol - Spanish Speaking)
FD = (Five and Dime)
GL = (Gay & Lesbian)
HIV = (Focused on HIV+ members)
IP = (Informational Pamphlet)
IW = (It Works: How and Why)
JFT = (Just for Today)
K = (Keytags are handed out)
LC = (Living Clean)
M = (Men's Meeting)
PI = (Pitch)
RF = (Rotating Format)
S = (Speaker Discussion)
ST = (Step Discussion)
SWG = (Step Working Guide)
T = (Tradition Discussion)
TO = (Topic Discussion)
(Women's Meeting)
(Wheelchair Accessible)
(Young People's)

If this is a meeting change, please list what's changed:
 

Group Contact Information*
Name: Phone:
Name: Phone:

*Changes cannot be processed without contact name(s) and number(s)

 
Choose Area: 

If you prefer to fill out a hard copy of the form, click here to download.