The NA Way Magazine Submission Form/Copyright Transfer

This form is intended for original material submitted to Narcotics Anonymous World Services and must accompany all submissions in order to be published in The NA Way Magazine. All manuscripts and/or photographs submitted become the property of NA World Services.

With this document, I, the undersigned NA member, hereby grant permission to NA World Services, the World Service Office, TheNA Way Magazine, their successors, assigns, and those acting on their authority to publish the attached material (circle one: manuscript and/or photograph) titled:

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I further warrant that the materials submitted herewith were prepared by myself as a member of the fellowship.

I understand that, if selected for publication, this material will be edited in keeping with NA?s understanding of the Twelve Steps and Twelve Traditions. Submissions will be copyedited to ensure ease of comprehension and adherence to the rules of English grammar. In addition, editorial staff may also substitute different words and/or revise sentence structure for clarification. I further understand that this material may possibly be retitled and/or reprinted in other NA Fellowship journals.

I possess full legal capacity to exercise this authorization and hereby release NA World Services, the World Service Office, and TheNA Way Magazine from any blame by myself, my successors, and/or my assigns.

Name:______________________________________________________
(Please Print)
Signature:___________________________________________________
Date:_______________________________________________________
Address:____________________________________________________
City:______________________ State:________________ Zip:________
Country:________________________ Country Code:________________
Phone:____________________E-mail address:____________________


You may print this page and either fax or mail the signed form to:
The NA Way Magazine
C/O NAWS
19737 Nordhoff Place
Chatsworth, CA 91311
Fax:(818) 700-0700