Sponsor Sign Up

If you are abstinent and are willing to sponsor members 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 members who request the sponsor list.

If you are interested in getting a sponsor, contact the Outreach Committee Chair, outreach@oaregion4.org, for a copy of the list.

Full Name (required)

Email (required)

Address

Phone Number (required)

Abstinence Date (required)

Time in Program (required)

Willing to sponsor
 Step Sponsor Food Sponsor Anorexic/Bulimic Big Book Relapse General

Best time of day for contact
 Mornings Evenings Night (after 10:00 pm) Anytime

Addition Information or Qualifications

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