FA EAI Main Motions 2021 Voter Registration Form
 Completion of this form is an attestation that the registrant has at least two years of continuous abstinence in FA who were committed to a meeting affiliated with EAI or its chapter prior to Covid-19. It will result in voter registration for the registrant.
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First Name *
Last Initial *
City *
Example: Boston
State/Province
Example: MA
Country *
Example: US; Example: Israel
Email Address *
Phone Number *
Example: xxx-xxx-xxxx
I attest that I have at least two years of continuous abstinence in FA and I was committed to a meeting affiliated with EAI or its chapter prior to Covid-19.  Please list an FA meeting, city, state/province & country with which you were affiliated. (Note: you do not need to be the World Service Conference voting member for your meeting in order to vote on February 7, 2021.) *
Example: Saturday Andover, MA 8am
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