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 not imply
affiliation with any sect, religion, organization or institution.

GROUP NAME _____________________________________________________    GROUP START DATE: ____________

GROUP MEETING LOCATION: ________________________________________    NUMBER OF MEMBERS __________

ADDRESS _________________________________________________________________________________________

CITY/TOWN ____________________________________  STATE  Michigan    ZIP CODE _________________

PLEASE RETURN TO: GENERAL SERVICES OF SOUTHEASTERN MICHIGAN, PO BOX 2843, SOUTHFIELD, MI  48037-2843