Unity With Diversity (UWD) Request Form

PLEASE NOTE:  The purpose of this request form is to connect "diverse" members of Overeaters Anonymous (OA). 


The goal of the UWD request form is to assist OA members as follows:

  • Provide a way a person can ask for a list of contact people including their name, email address, and phone numbers to be emailed to them.
  • Provide a way the person can send their own contact info so UWD can send them the list of volunteers with their diversity.
  • Provide a a way a person can join the list of members with experience.

Select an option: *

Please select one: *
Name: *
Email: *
Phone:
Comment:

Confidentiality Agreement

By clicking the Terms of Service check box below, I understand and agree to the following: 

  • The information I submit in this form is confidential and will not be shared outside of OA. 
  • This information will not be distributed to the public. 
  • This information will not be copied, printed, or distributed at any OA meetings. 
  • This information will not be posted on a web site (local Intergroup or elsewhere) under any circumstances.
Terms of Service: *
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