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U.S. and Canada ALCOHOLICS ANONYMOUS GROUP … · 2019. 8. 4. · U.S. and Canada ALCOHOLICS...
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U.S. and Canada ALCOHOLICS ANONYMOUS GROUP I NFORMATION CHANGE FORM GROUP SERVICE No. ________________________________ DATE: ____________________ DELEGATE AREA No. _______________ DISTRICT No. _____________ No. OF MEMBERS: _______________ If the Group is to be listed in the Directory, please provide a telephone number and mailing address for the G.S.R., Alternate G.S.R., or Group contact. Listing in the Directory is for Twelfth Step referral and/or for meeting information. The G.S.R.’s (or other contact) name and telephone number will be included in the Directory with the group’s name and service number. OK TO LIST IN THE DIRECTORY? ■ ■ Yes ■ ■ No SIGNATURE: _________________________________________________________________ DATE: ______________________ “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 Steps and Twelve Traditions, page 174. THREE WAYS TO RETURN THIS FORM: ■ ■ Postal Mail to: A.A. World Services, Inc. ■ ■ By Fax: 212-870-3003 (Attn: Records) ■ ■ E-mail: [email protected] Grand Central Station P.O. Box 459 New York, NY 10163 OLD INFORMATION GROUP NAME: ________________________________________________ Group Meeting Location: _________________________________ Street: __________________________________________________ City/Town: _____________________________________________ State/Province: __________________________________________ Zip Code: ____________ Telephone: _____________________ MEETING DAY MON ■ ■ TUES ■ ■ WED ■ ■ THUR ■ ■ FRI ■ ■ SAT ■ ■ SUN ■ ■ MEETING TIMES _________ _________ _________ _________ _________ _________ _________ GENERAL SERVICE REPRESENTATIVE (G.S.R.) Name: ________________________________________________ Street: ________________________________________________ City/Town: ______________________________________________ State/Province: __________________________________________ Zip Code: ____________ Telephone : ______________________ E-mail: ________________________________________________ ALTERNATE G.S.R. ■ ■ ■ or MAIL CONTACT ■ ■ ■ (Please check one ✓) Name: ________________________________________________ Street: ________________________________________________ City/Town: ______________________________________________ State/Province: __________________________________________ Zip Code: ____________ Telephone : ______________________ E-mail: ________________________________________________ NEW INFORMATION GROUP NAME: ________________________________________________ Group Meeting Location: _________________________________ Street: __________________________________________________ City/Town: _____________________________________________ State/Province: __________________________________________ Zip Code: ____________ Telephone: _____________________ MEETING DAY MON ■ ■ TUES ■ ■ WED ■ ■ THUR ■ ■ FRI ■ ■ SAT ■ ■ SUN ■ ■ MEETING TIMES _________ _________ _________ _________ _________ _________ _________ GENERAL SERVICE REPRESENTATIVE (G.S.R.) Name: ________________________________________________ Street: ________________________________________________ City/Town: ______________________________________________ State/Province: __________________________________________ Zip Code: ____________ Telephone : ______________________ E-mail: ________________________________________________ ALTERNATE G.S.R. ■ ■ ■ or MAIL CONTACT ■ ■ ■ (Please check one ✓) Name: ________________________________________________ Street: ________________________________________________ City/Town: ______________________________________________ State/Province: __________________________________________ Zip Code: ____________ Telephone : ______________________ E-mail: ________________________________________________
Transcript of U.S. and Canada ALCOHOLICS ANONYMOUS GROUP … · 2019. 8. 4. · U.S. and Canada ALCOHOLICS...
U.S. and Canada ALCOHOLICS ANONYMOUS GROUP INFORMATION CHANGE FORM
GROUP SERVICE No. ________________________________ DATE: ____________________
DELEGATE AREA No. _______________ DISTRICT No. _____________ No. OF MEMBERS: _______________
If the Group is to be listed in the Directory, please provide a telephone number and mailing address for the G.S.R., AlternateG.S.R., or Group contact. Listing in the Directory is for Twelfth Step referral and/or for meeting information. The G.S.R.’s (or othercontact) name and telephone number will be included in the Directory with the group’s name and service number.
OK TO LIST IN THE DIRECTORY? ���� Yes ���� No
SIGNATURE: _________________________________________________________________ DATE: ______________________
“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 dependupon 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 haveno 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 Steps and Twelve Traditions, page 174.
THREE WAYS TO RETURN THIS FORM:
���� Postal Mail to: A.A. World Services, Inc. ���� By Fax: 212-870-3003 (Attn: Records) ���� E-mail: [email protected] Central StationP.O. Box 459New York, NY 10163
OLD INFORMATIONGROUP NAME: ________________________________________________Group Meeting Location: _________________________________Street: __________________________________________________City/Town: _____________________________________________State/Province: __________________________________________Zip Code: ____________ Telephone: _____________________
MEETING DAYMON ���� TUES ���� WED ���� THUR ���� FRI ���� SAT ���� SUN ����
MEETING TIMES_________ _________ _________ _________ _________ _________ _________
GENERAL SERVICE REPRESENTATIVE (G.S.R.)
Name: ________________________________________________Street: ________________________________________________City/Town: ______________________________________________State/Province: __________________________________________Zip Code: ____________ Telephone : ______________________E-mail: ________________________________________________
ALTERNATE G.S.R. ���� or MAIL CONTACT ���� (Please check one �)
Name: ________________________________________________Street: ________________________________________________City/Town: ______________________________________________State/Province: __________________________________________Zip Code: ____________ Telephone : ______________________E-mail: ________________________________________________
NEW INFORMATIONGROUP NAME: ________________________________________________Group Meeting Location: _________________________________Street: __________________________________________________City/Town: _____________________________________________State/Province: __________________________________________Zip Code: ____________ Telephone: _____________________
MEETING DAYMON ���� TUES ���� WED ���� THUR ���� FRI ���� SAT ���� SUN ����
MEETING TIMES_________ _________ _________ _________ _________ _________ _________
GENERAL SERVICE REPRESENTATIVE (G.S.R.)
Name: ________________________________________________Street: ________________________________________________City/Town: ______________________________________________State/Province: __________________________________________Zip Code: ____________ Telephone : ______________________E-mail: ________________________________________________
ALTERNATE G.S.R. ���� or MAIL CONTACT ���� (Please check one �)
Name: ________________________________________________Street: ________________________________________________City/Town: ______________________________________________State/Province: __________________________________________Zip Code: ____________ Telephone : ______________________E-mail: ________________________________________________
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Bring to District Meeting 1st Mon. of the Month.
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OLD INFO or if NEW, LEAVE BLANK
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