Alcoholics Anonymous GROUP Information Change Form Please fill out yearly -AND- When information changes.
Required feilds are marked by *    Other fields need only be completed if information has changed.
Person Completing This Form:   (in case we have questions about it)
* Name:  * Position in Group: * Phone: * Email:
  First and Last      
* Group Name:   * City:   GSO Group Number: Area 57
Group No. is optional-can be obtained from State AA Office  
District Number:               Number of Members claiming this as their home group:    
Old Group Information New Group Information
Old info needed only where new info is provided.
Group Name:   		Group Name:  
Old Meeting Place:  New Meeting Place: 
Old Meeting Address: New Meeting Address:
City: ,   OK,   Zip: City:  ,   OK,    Zip 
Group's Meeting Schedule
In each box enter meeting time and format. This form allows for up to 3 meetings per day.
If your group has more meetings, or to provide additional information, use the "Other Information" section at the end of this form.
Meeting Codes: O=Open C=Closed S=Smoking NS=NonSmoking BB=Big Book Study SS=Step Study T=Topic Beg=Beginners SP=Speaker etc.
Examples:  7:30pm C-NS-BB or 12Noon O-S-SP,Beg
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Note: If this is a change in your meeting schedule, please also complete the Meeting Change Form which updates your online meeting listings on the web site.
Group Contact Information
Designate one contact to receive mail from GSO:
1) GSR (General Service Representative)
New GSR's Name: 
      Name of  GSR being replaced: 
New GSR Address: 
City: , OK   Zip:
Home Phone:   Cell:
E-Mail Address: 
OK to List Full Name & Phone# in GSO Directory?       
Want to receive Group E-mails from State AA Office?     
Would like to receive Area 57 Newsletters by Email?     
Will help find BTG Contacts? (See BTG Note below)    
2)      or
New Alt-GSR  
      Name of  Alt being replaced: 
New Alt's Address 
City: , OK   Zip:
Home Phone:    Cell:
E-Mail Address:
OK to List Full Name & Phone# in GSO Directory?      
Want to receive Group E-mails from State AA Office?     
Would like to receive Area 57 Newsletters by Email?    
Will help find BTG Contacts? (See BTG Note below)    
3) Group Contact
       (If no GSR, usually an oldtimer with consistent address.)
New Contact:  
Address:      
City: , OK   Zip:
Home Phone:  Cell:
E-Mail Address:
OK to List Full Name & Phone# in GSO Directory?     
Want to receive Group E-mails from State AA Office?     
Would like to receive Area 57 Newsletters by Email?     
Will help find BTG Contacts? (See BTG Note below)    
4) Group Phone Contact - for GSO
    Also usually an old-timer with consistent contact information.
Name: 
Phone: 
OK to list in GSO Directory?          
5) Other Group E-mail Contacts
   (Others who would like to recieve emails from State Office)  
Name:   E-Mail
Name:   E-Mail
Name:   E-Mail
Name:   E-Mail
5) Other Group Contacts Other Information: 
Treasurer:   Name:      Phone
Secretary:   Name:       Phone
BTG Note: Our Bridge the Gap committee tries to arrange local temporary contacts for those coming out of treatment, detox, correctional facilities etc. The question on BTG above asks whether or not you would be willing to help find such a contact for someone coming to your city upon release from such a facility.

                          

Note that the information submitted will not be encrypted, so that there is some small risk that cyber theives might the steal the information. (Cyber theives are generally are looking for bigger game and don't really care where you live!) If you prefer not to take this risk, you can hit your browser's print button now, and mail the printed form to Oklahoma State Committee, POBox 18415, OKC, 73154. Then use the cancel button.