Contact Information - Portland Eye Opener A.A. Group

We keep this information HIGHLY confidential, even within the group. Registering your contact information here allows you to receive occasional messages from the group related to community news, service opportunities, and group business. It may also allow other group members to find you, but only at your choice. If someone is trying to reach you, we will forward a message so you can decide whether to reply, but we NEVER give your contact information directly to ANYONE.

What is your name? *
Full name is best. We will keep it totally confidential.
Your answer
E-mail address?
Your answer
Phone number?
Your answer
Can you receive text messages at this number?
Closest relative or loved one?
We often need to contact family when a member of our group dies or loses consciousness or just disappears. Who should we call if this happens to you? You can trust us to contact your loved ones only in extreme circumstances, and with the utmost sensitivity.
Your answer
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