Group Information Form (NEW) IMPORTANT: Use this form for reporting a new group. New groups will also want to submit 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 change information on an existing group, click here.- Submitter's Information -Name of Person Submitting This Form(Required) First Last Submitter's Email(Required) Submitter's Phone(Required)- Group Information -Group Name(Required) District- Select One -30406090 (Spanish)(If Known)Start Date(Required) MM slash DD slash YYYY When does this group start meeting?Group Address (For Zoom Only meetings, type N/A in the street address but fill out City, State, & Zip)(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Location Information(Required) For example: "Episcopal Church" or "Use South door." (If no location information needs to be submitted, simply put "N/A" in this field.) If ZOOM ONLY, meeting ID and password MUST be listed here.- Group Contact Information -Primary Contact Name(Required) First Last Primary Contact Email Address(Required) Primary Contact Phone(Required)Alternate Contact or CSR Name First Last Alt Contact or CSR Email Alt Contact or CSR PhoneThe Contact Above is the: Alternate Contact Central Service Representative Check only if you added a second contact personTreasurer Name First Last Treasurer Email Treasurer PhoneTreasurer Address (REQUIRED for groups with charge accounts, unless you prefer to receive emailed statements) - Meeting Schedule Information -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. Add each INDIVIDUAL meeting SEPARATELY. To add information (date/time, etc.) to this submission, click the ADD MEETING button. Click the ADD MEETING button for EACH meeting (date/time, etc.) you are wanting to submit. ALL FIELDS ARE REQUIRED or we cannot add your group!Additional CommentsEmailThis field is for validation purposes and should be left unchanged. 49134
