MEETING CHANGE FORM

*If you are starting a new meeting or ending an existing one, this is the form to use. You may also use this form to make any changes to information about your current group including meeting times, Group Service Rep, and contact information. This is a one-stop form that will get your information to the General Service Office, Area 51, District 71, Central Office, The Where and When and the Meeting Guide App

Please help us by giving as much information as possible in order to insure we have accurate and up to date listings on our Meeting Schedules

Your Name

(You may use your initial for your last name)

First Name

Last Name

Phone

(###)

###

####

Email

New or Established Meeting

New

Established

Meeting Name

What Type of Meeting

Online

Face to Face (In Person)

Day or Days of Meeting

Time of Meeting

Please let us know if AM or PM

Location of Meeting (Church, Park, etc.)

Address for Meeting

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Meeting Format (Open, Discussion, Big Book Study, etc.)

Wheelchair-Accessible

Yes

Wheelchair-Accessible Bathroom

Yes

Additional Information: (Use this for any additional info)

Zoom ID# or Meeting Link

Zoom Password

Message or Any Other Instructions

When do these changes take effect?

MM

DD

YYYY