Request a Visit by a WW Rep Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Chapter Name with City and Province/State *Your name / Chapter Role *Email *Your contact telephone *Check all Purposes that apply for a WW Rep visit *Address pressing Chapter concerns not solvable by email, phone calls, or video meetingsSpeaker for your Chapter Anniversary ending in a 5 or 0 or other special celebrationAssist chapter with less than 20 members or decreasing countAssist chapter with future leadership/participation issuesStart-up meeting with soon-to-organize chapterHeard WW Rep is visiting a nearby chapter and would like to be included, with no particular purpose other than "check in"2024 Dates you want to be visited this year *2025 Dates you want to be visited next year *Alternate visit dates/timesProvided by Hosting ChapterHosted housing for visiting WW Rep *Guest bedroom in member's homeHotel / B&B accommodation paid by chapterNo, sorry we cannot provide any housingOnsite meals *Chapter will pay for all meals/food during the visitOnly pay for official Chapter-related mealsNo, sorry we cannot provide any expenses for meals/foodTransportation To/From Visit - select all that apply *Chapter will pay for portion of air travel (with other nearby visits)Chapter will pay for air/ground travel for special visit needsChapter will provide ground transportation during the visitNo, sorry we cannot provide any expenses for transportationDate / Time request Submitted *DateTimeSubmit