Group Information Form

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*Your name and phone*
	The information above MUST be supplied in order to process this form
*Date Effective*:
*Group/Meeting Name*
*Group/Meeting Place*	ie Fellowship Hall, Church
*Group/Meeting Address*
*Group/MeetingCity*
*Meeting Day*	ie Mon, Tue, Wed, etc
Meeting *Time*
*Secretary*
*Secretary home phone*
*Secretary cell phone*

*Treasurer*
*Treasurer home phone*
*Treasurer cell phone*

*Intergroup Representative*
*Intergroup Rep home phone*
*Intergroup Rep cell phone*
*Comments:*

Meeting Type
Closed meeting
Discussion meeting
Speaker meeting
Book study meeting
Step Study meeting
Participation meeting
Women's meeting
Men's meeting
Gay meeting
Young people's meeting
Smoking meeting

Check all boxes that apply. Unless checked, all
meetings are assumed to be open meetings.