Area 69 General Service Committee, District 2
Group Information Change Form

 

Group Service Number: (assigned by G.S.O.)
 

Old information
 

New information
       
Day:
Day:
Type:
Type:
Group's Name:
Group's Name:
Address:
Address:
Address2:
Address2:
City:
City:
Time:
Time:
Open?
Open?
Smoking?

Smoking?
Wheelchair accessible? Wheelchair accessible?
   


Additional Information: (Contact name, Phone number)

Please include a valid Phone number for both the old and new information.
The information will be varified before any changes are sent on the the Area and/or GSO