New Group Registration Form
(If you are updating group information, please use the Group Update Form.)
“One of the most important things about our new way of life is being a part of a group of addicts seeking recovery. Our survival is directly related to the survival of the group and the Fellowship. To maintain unity within Narcotics Anonymous, it is imperative that the group remain stable, or the entire Fellowship perishes and the individual dies.” Basic Text, page 59. 
In the spirit of this quote, NA World Services thanks you for making this effort to forward your group’s meeting information. 
Please complete all information (Please print clearly)
Group Name	Today's Date	
This group was formed (month/year)	This group holds                  meeting(s) per week	
Area Service Committee Name	
Regional Service Committee Name	
Group’s Meeting Information
Meeting Days	Sun	Mon	Tues	Wed	Thur	Fri	Sat	
Meeting Time								
Language(s)								
Format								
Wheelchair    
Accessible   								
Room Name								
Open/Closed*								
*Open NA meetings welcome addicts and interested observers; closed NA meetings welcome addicts only.
Meeting Location
Place / Building Name		
Address	City	
Borough/Sub-City	State/Province	
Postal/Zip	Country	
If this meeting is held in a correctional or treatment facility, are there special criteria for entry?	
	
Group Mailing Address
This is typically a mailing address of a stable group member who can forward any communication from NA World Services
to the NA group. This may or may not be a current group trusted servant, and is not usually the group’s meeting location address.
Group Contact	
Address	
City	State/Province 	
Postal/Zip	Country	Phone (         )	
Email Address	
All registered NA groups receive a subscription to The NA Way Magazine. Please indicate your group’s language preference:
(circle one):   English   -   French   -   German   -   Portuguese   -   Spanish 
We will send your NA Way Magazine to the above mailing address or email address, please indicate your group’s preference: 
(circle one):     Email Address     -    Mailing Address