Submit Your Meeting Information (Pink Form)

IMPORTANT

• If you are about to use this form to register, or change, information about an AA Group,
  please read the notes here
• If you are about to use this form to register, or change, information about an online AA Group,
  please read the notes here

Submit Your Meeting Information

** PLEASE NOTE: this form to is update existing meeting details and register new groups. It is NOT for anyone wanting to join or go to a group **

	First registration Amend registered group
SECTION A
If New Group, date of 1st Meeting
(If change of time/day/venue) Date of change
Group Reference Number (If Known)
Name of Meeting *
Address of Meeting
Address Line 1 *
Address Line 2 *
Town/City *
Post Code *
County *
Latitude (if known)
Longitude (if known)
Meeting held on:	Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Meeting Start Time *
Meeting Duration *
If 'Open' Meetings held; give details when:
Helpline Number Please indicate if available, including operating times
Other Information	Full Wheelchair Access Loop system for hearing aid users All mtgs interpretated in British Sign Language British Sign language available by request Chit system available
Contacts for publication in Where to Find Directory (2 People Max) TELEPHONE CONTACTS FOR PUBLICATION IN THE WHERE TO FIND: Extract from p76 of the Structure Handbook:- Members whose names appear in the Where to Find should be prepared to take full responsibility as contacts and delegate where necessary. This implies that such a telephone number will be freely available within the Fellowship and that the contact is prepared at any time to: - accept a call for help - give information to a professional eg a GSO number - guide a family member to the right source for help eg to Al-Anon - speak to members of the Fellowship enquiring about meetings
Name 1 If left blank any current names will be removed.
Telephone Number
Name 2
Telephone Number 2
Generic Group Email Address No personal email addresses please as this will appear in the 'Where to Find'
Group Founder (If known)
Additional Information
SECTION B - FOR GSO CONFIDENTIAL RECORDS ONLY.PLEASE GIVE FULL NAMES & ADDRESSES FOR MAILING PURPOSES.
STRICTLY CONFIDENTIAL
All group correspondence to be sent to: *
Telephone Number: *
Email Address:
(For AA Service News only)
Name, address & tel. no. of Secretary:
Name, address & tel. no. of Treasurer:
Name, address & tel. no. of GSR:
To which Intergroup does your group belong? *
Security Code