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If you are a new group, fill out the right hand column only.  A group number will be given to you by the General Service Office.  If you are a group who is changing group names, GSR or Alt. GSR, please fill out both left and right columns.  If you do not know what your Group Service Number is, send email to the Area Registrar and they will be happy to get the information to you.  You can still fill out the information and the necessary info. will be added for you on the form that goes to GSO.

Alcoholics Anonymous Group Information Form

Group Service No.       Date

Delegate Area No.   District No.   No. of Members

OLD INFORMATION NEW INFORMATION
Group Name Group Name
Meeting Location Meeting Location
Street Street
City St Zip City St Zip
MEETING DAY MEETING DAY
Mon Tue Wed Thur Fri   Sat  Sun  Mon Tue Wed Thur Fri   Sat  Sun 
MEETING TIMES MEETING TIMES
GENERAL SERVICE REPRESENTATIVE (GSR) GENERAL SERVICE REPRESENTATIVE (GSR)
Name Name
Street Street
City StateZip City StateZip
Telephone  Telephone 
E-Mail E-mail
ALT. GSRor MAIL CONTACT(please check one) ALT. GSRor  MAIL CONTACT(Please check one)
Name Name
Street Street
City StateZip CityStateZip
Telephone Telephone
E-Mail E-Mail

If the Group is to be listed in the Directory, please provide a telephone number and mailing address for the GSR, Alt. GSR or Group contact.  Listing in the Directory is for Twelfth Step referral and/or for meeting information.  The GSR's (or other contact name and telephone number will be included in the Directory with the group's name and service number).

OK TO LIST IN THE DIRECTORY?  YES    NO

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Area 76 Webmaster.
Copyright © 2008 Area 76 Alcoholics Anonymous. All rights reserved.
Revised: May 27, 2008.

 

 

Send mail to area76@area76wyaa.org with questions or comments about this web site.
Copyright © 2007 Area 76 Alcoholics Anonymous
Last modified: May 02, 2008