[list_settings.list_name]: Board Requests Contact Info For 2012 Delegates

 
From: "[list_settings.list_name]" <codalist@codependents.org>
Date: February 19th 2012

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board@coda org

Hello CoDA Fellowship,

The Board of Trustees is mandated by law to contact our delegates when our annual business meeting is scheduled In preparation for our upcoming CoDA Service Conference, we are asking delegates representing their voting entity to submit current contact information If you are a delegate we ask that you please send in updated contact information including your name, address, phone number, and email address If you know who your delegate is, please ask them to send us their updated contact information

Attached is a Delegate Registration Form for your convenience This form can be especially helpful if your area has alternate delegates who will be attending CSC

You may email the information to board@coda org or send it to our business address by postal mail:

CoDA, Fellowship Services Office PO Box 33577 Phoenix, AZ 85067-3577

Thank you in advance for your assistance

In Service, The CoDA Board of Trustees

board@coda org


You can also download a more attractive version of this form here: http://codependents org/delegate2012reg pdf

CoDA DELEGATE/ALTERNATE REGISTRATION FORM

Use this form for registering the two Delegates and/or two Alternates from your Voting Entity and for updating CoDA regarding changes

PLEASE TYPE OR PRINT LEGIBLY VOTING ENTITY REPRESENTED _ _ _

Please, if applicable, state whether a former Delegate or Alternate is being replaced

  1. Name of Delegate/Alternate Being Replaced: Indicate if Delegate or Alternate:

  2. Name of Delegate/Alternate Being Replaced: Indicate if Delegate or Alternate:

  3. Name of Delegate/Alternate Being Replaced: Indicate if Delegate or Alternate:

  4. Name of Delegate/Alternate Being Replaced: Indicate if Delegate or Alternate:

CURRENT DELEGATE

As the Delegate representing your state, your first name, last initial, phone number, and e-mail address
may be appearing in CoDA National contact Directories

YOUR SIGNATURE IS REQUIRED FOR THIS INFORMATION TO BE RELEASED
1 Current Delegate Name: Address: City: State: Zip: E-Mail: Phone: SIGN HERE PLEASE

I give my permission to list my name, phone number and e-mail address in the National Contact Directory

  1. Current Delegate Name: Address: City: State: Zip: E-Mail: Phone: SIGN HERE PLEASE

I give my permission to list my name, phone number and e-mail address in the National Contact Directory

  1. Current Alternate Name: Address: City: State: Zip: E-Mail: Phone: SIGN HERE PLEASE

I give my permission to list my name, phone number and e-mail address in the National Contact Directory

  1. Current Alternate Name: Address: City: State: Zip: E-Mail: Phone: SIGN HERE PLEASE

I give my permission to list my name, phone number and e-mail address in the National Contact Directory

If you have a general question about CoDA (as opposed to the specific content of this email), please email outreach@coda org

For questions in Spanish, please email espanol@coda org

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