World Service Conference

27 April—03 May 2014

Conference Registration & Housing Form

All regional delegates and alternates must complete this form.

You may fill out the form here or download it and then mail or fax it to NAWS.

Registration forms must be completed no later than 15 March 2014.

Name of your region:


I am the:

Regional Delegate
Alternate Delegate

Contact Info.:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Arrival Date:

-- mm/dd/yy

Departure Date:

-- mm/dd/yy

I require an ADA-Compliant Room:


Special Requests:


I know who my roommate is. Please make sure your roommate completes a reservation form as well. If you (or your roommate) are not being funded by NAWS, you will be asked for a form of payment for your half of the room expense ($78.04 per night, tax included) upon arrival to the Warner Center Marriott. Please provide us with the name of your roommate:

First Name
Last Name

I need a roommate (Please check box)

If you do not have a roommate, we will do our best to find one for you. If you are not being funded by NAWS, you will be responsible for the entire room expense ($156.07 per night, tax included) if we cannot find a roommate for you. We will notify you if we are not able to place you with a roommate.

AIR TRAVEL: Before making airline reservations please make sure you read the WSC2014 travel memo sent to conference participants. The Conference officially opens Sunday, 27 April and closes the evening of Saturday, 3 May. There will be workshops on a variety of recovery topics before the WSC on Saturday, 26 April so NAWS-funded participants from the United States can arrive on Friday, 25 April, and International NAWS-funded participants can arrive on Thursday, 24 April. To make airline reservations please contact Montrose Travel directly. You may email our travel agent at PMulvehill@MontroseTravel.comor call at 800.766.4687 or 818.553.3228 and ask for Phyllis.Alternates who wish to receive the five percent discount should contact Montrose Travel as well.


If you have not completed this form online, please mail it to NA World Services, c/o WSC Traveler, 19737 Nordhoff Place, Chatsworth, CA 91311 or fax it to 818.700.0700.