Alcoholics Anonymous
Group Information Change Form
(For Area 33 Southeast Michigan Only) - Please fill out as completely as possible!
Today's Date (mm/dd/yy):
Group Identification Number:
Delegate Area Number:

District Number:
Number of Home Group Members:
(Please count one home group per member.)

OLD GROUP INFORMATION Check Here
Please fill out this section to help us better identify the correct group record that needs to be updated.

Group Name:
Building Name:
Street Address:
City: State: Zip:
Meeting Day & Time: Meeting Day & Time:
Other Info:

Old General Service Representative (GSR) Information Check Here

GSR's Name:
Street Address:
City: State: Zip:
Phone Number:
(Indicate Home, Work or Cell)

Alternate GSR   or   Mail Contact (Check One)

Name:
Street Address:
City: State: Zip:
Phone Number:
(Indicate Home, Work or Cell)

CURRENT GROUP INFORMATION Check Here

Group Name: (Required)
Building Name: (Required)
Street Address: (Required)
City: (Required) State: Zip:
Meeting Day & Time: (Required)   Meeting Day & Time:
Other Info:
Language:

English Speaking     Spanish Speaking     French Speaking     Other:
Accomodations:

Smoking     Non-Smoking     Handicap Accessible     Deaf/HH Signor    

Big Book Study    12 & 12 Study    Open Meeting    Closed Meeting    Discussion


New or Current Contact Information

GSR    -or-    Mail Contact (Check One)

Name: (Required)
Street Address: (Required)  
City: (Required)   State: Zip:
Phone Number: (Required)
(Indicate Home, Work or Cell)

Alternate GSR      -or-      Mail Contact (Check One)

Name:
Street Address:
City: State: Zip:
Phone Number:
(Indicate Home, Work or Cell)
Does your Group meet in a hospital, treatment center or detox center?       Yes       No

Is it open to A.A. members in the community and patients in the center?     Yes       No



Eastern United States Directory

Listing in the Eastern United States Directory is for twelfth step referrals and requests for local meeting information for those traveling. This is a CONFIDENTIAL national publication only available through our General Service Office. If you select "OK TO LIST IN THE EASTERN UNITED STATES DIRECTORY," the GSR, Alternate GSR and Mail Contact names and phone numbers will be included in the Eastern United States Directory. The Group's name, meeting day & general service number will also be included.

(Check One)
OK TO LIST IN THE EASTERN U.S. DIRECTORY
PLEASE DO NOT LIST IN THE EASTERN U.S. DIRECTORY

(Please Note: Groups without a contact telephone number will not be listed in the Eastern United States Directory)



Area 33 Directory Online

Listing in the Area 33 A.A. Meeting Directory Online will include only meeting information, ie: Day, Time, Location, Address, City, State, Zip, Meeting Format and pertinent notes. No personal information is ever published online. If you select "OK TO LIST IN THE AREA 33 DIRECTORY ONLINE," your group's meeting information only will be listed in the next publishing.

(Check One)
OK TO LIST IN THE AREA 33 DIRECTORY ONLINE
PLEASE DO NOT LIST IN THE AREA 33 DIRECTORY ONLINE




Area 33 General Assembly Meeting Minutes

In an effort to decrease costs, we are collecting email addresses for those General Service Representatives (GSRs) and Group Mail Contact people who would like to receive their Meeting Minutes electronically. Normally they would get mailed to the GSR's or Mail Contact's home address through the U.S. Postal system. You can elect to receive minutes electronically or by regular mail. Your help with this is greatly appreciated

(Check One)
Send me Area Assembly Minutes to the email address listed below.
Send me Area Assembly Minutes by regular U.S. Mail to the address listed above.


YOUR E-MAIL ADDRESS:
You will receive confirmation of these changes once this on-line form has been processed by regular mail. You will only receive Assemly Meeting Minutes in the manner you indicated.

General Services Of Southeast Michigan
Copyright © 1999 A.A. Area 33. All rights reserved.
Revised: April 01, 2008