Speaker Sign Up

If you have one year of current abstinence and are willing to speak at OA events in Region IV, please complete the following.  The information will be sent to the Outreach Committee, who will maintain the data.  What you enter is not stored on the website and will not be available to anyone other than Intergroups who request the speaker list.

Full Name (required)

Email (required)

Address

Phone Number (required)

Abstinence Date (required)

Time in Program (required)

Topics - Select all those you can address
 Steps Traditions My Story Sexuality Spirituality Eating Disorders Big Book 100 Pounder Abstinence Relapse Healthy Body Size

Special Focus

Willing to speak in front of

 25-50 50-100 100+

Willing to travel

 Any distance 25-50 miles 50-100 miles 100-200 miles

Transportation

 Fly Drive

Addition Information or Requirements

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