XXXI 2023 Speaker/Chair Person Submission

The Canadian Convention invites NA members to submit their name as a potential speaker or meeting Chairperson. Our convention will be in Saint-Hyacinthe, Quebec, Canada on September 1,2, & 3, 2023

We do have a discretionary line item in our budget that may permit us to offer some travel funding. However, it is our practice to attempt to select speakers from those members who have already registered for the convention. If you have not already done so, please pre-register before filling out this form.

Speaker submissions must be received no later than June 15, 2023

Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email

This is the most likely way we will contact you.
Clean Date Clean Date / MM / DD YYYY
Have you already registered for this convention?

Have you already registered for this convention? I have registered I have not registered

Most if not all workshop speakers are selected from pre-registrations
Select the way(s) you are interested in participating

Select the way(s) you are interested in participating Workshop Chairperson Speaker
Select the type of meeting(s) you are willing to share at

Select the type of meeting(s) you are willing to share at Workshop Speaker (Min 3 years clean) Main Speaker (min 5 years clean)
Have a previous recording of you sharing? Upload an mp3 file from your computer

Attach Files
If you would prefer to mail your cd or thumb drive please send to:

Canadian Assembly of Narcotics Anonymous
C/O CCNA
PO Box 812 Edmonton Main
Edmonton, Alberta T5J2L4

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