Group Information Form (CHANGE) IMPORTANT: Use this form for reporting changes to an existing group previously submitted. You will also want to submit update information to Area 57 here (Information reported to the Area is forwarded to the A.A. General Service Office (G.S.O.)). If you need to submit new group information for a new group, click here.- Submitter's Information -THIS FORM IS FOR GROUPS THAT ARE ALREADY IN OUR DIRECTORY. TO SUBMIT A NEW GROUP USE THE NEW GROUP FORM!Name of Person Submitting This Form(Required) First Last Submitter's Email(Required) Submitter's Phone(Required)Effective Date(Required) MM slash DD slash YYYY When do these changes go into effect?- Group Information -Group Name(Required) District- Select One -30406090 (Spanish)(If Known)Group Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Location Information For example: "Episcopal Church" or "Use South door"- Group Contact Information -Central Service Rep (CSR) Name First Last CSR Email Address CSR PhoneAlternate CSR Name First Last Alt CSR Email Alt CSR PhoneTreasurer Name First Last Treasurer Email Treasurer PhoneTreasurer Address (REQUIRED for groups with charge accounts, unless you prefer to receive emailed statements) - Meeting Schedule Information -Change Type(Required) CHANGE Previously Submitted Information DELETE Previously Submitted Information ADD New Information Below Meetings Meeting Days Time Open/ Closed Meeting Format/Type Other (Please Describe) Smoking Actions Edit Delete There are no Meetings. Add Meeting Maximum number of meetings reached. To add meeting information changes to this submission, click the ADD MEETING button. YOU MUST ADD EACH MEETING SEPARATELY!Additional CommentsDate MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged. 42062
