Alcoholics Anonymous
New Group Form
(For Area 33 Southeast Michigan Only) - Please fill out as completely as possible!
"Our membership ought to include all who suffer from alcoholism. Hence we may refuse none who wish to recover. Nor ought A.A Membership ever depend upon money or conformity. Any two or three alcoholics gathered together for sobriety may call themselves an A.A. group, provided that, as a group they have no other affiliation." -Tradition Three (the long form)

"Each Alcoholics Anonymous group ought to be a spiritual entity having but one primary purpose - that of carrying its message to the alcoholic who still suffers." -Tradition Five (the long form)

"Unless there is approximate conformity to A.A.'s Twelve Traditions, the group ... can deteriorate and die." -Twelve Step and Twelve Traditions, page 174
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.)

NEW GROUP INFORMATION Check Here

A.A.'s Traditions suggest that a group not be named after a facility or member (living or deceased), and that the name of a group no imply affiliation with any sect, religion, organization or institution.
Group Name: (Required)
Building Name: (Required)
Street Address: (Required)
City: (Required)   State: Zip:
Meeting Day & Time: (Required)   Meeting Day & Time:
Other Info:
Starting Date:
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)
GSR or Mail Contact E-MAIL ADDRESS:

Alternate GSR      -or-      Mail Contact (Check One)

Name:
Street Address:
City: State: Zip:
Phone Number:
(Indicate Home, Work or Cell)
Alternate GSR or Mail Contact E-MAIL ADDRESS:
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 to 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
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
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 GSRs 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 Assembly Meeting Minutes in the manner you indicated.

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