New Group Listing Form

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.

Virtual Groups are encouraged to check with their Area Registrar regarding their preferred Area and District. List of Area Websites on aa.org

ALL FIELDS ARE REQUIRED!

GROUP INFORMATION

AREA #: 14 District #: Group Start Date:
Group Name: Number of Members: Group Meeting Location: Street Address:

If your Virtual group does not have a specific City/Town or State/Province the Primary Contact’s City/Town and State/Province will be used.

City/Town: State: Zip Code:

Language: English Spanish French

Type/format: In person (including hybrid) Virtual (including phone)

Does your Group meet in a hospital, treatment center or detox center? Yes No

If YES, is it open to A.A. members outside the center? Yes No

Note: Contact information provided is used by G.S.O. and AA Grapevine for purposes of A.A. service communications and is shared with your Area Committee.

PRIMARY CONTACT

Name: Telephone: Address:
City/Town: State: Zip Code: Email Address:

Choose one: G.S.R Alt. G.S.R. Mail Contact

GENERAL SERVICE REPRESENTATIVE (G.S.R.) – Your Group’s Link to A.A. as a whole P-19 GSR pdf

The G.S.R.s of the U.S. and Canada are the very foundation of our general service structure. Through the G.S.R., you can make your group's voice heard at district meetings, at area assemblies, and eventually at the General Service Conference.

To opt-in to be mailed a print version of the Group Handbook please check: (to opt-out leave unchecked)

Digital Group Handbook: https://www.aa.org/contents-group-handbook-list
To sign up for digital delivery of Box 4-5-9 at no charge visit: https://www.aa.org/box-459

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