Celebration Announcement

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Is this a new announcement, a correction or a deletion? *

Name *

First Name and Last Name Initial

Celebration or Acknowledgement? *

Clean Time *

1 year

18 months

2 years

3 years

4 years

5 years

6 years

7 years

8 years

9 years

10 years

Other:

Month/Day *

Please ensure date of celebration falls on your home group meeting

YYYY

Home Group *

Email address in case we need to clarify something:

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This form was created inside of Ontario Region Service Committee of Narcotics Anonymous.

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