group_change

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Northeast Oklahoma Al-Anon Registration/Group Records Change Form

1. Group Record

WSO ID No.

District No.

Area Name (abbreviation)

2. Status

Check option that applies to current situation

New Change Inactive Not sure if Registered

3. Changes

Check all that apply

4. Group/Registration Overview

Group Name

Mailing Language

Reflects Al-Anon principles and is inviting to all. See instructions to fill out the GR-1 Form. Please note that group names not in compliance witht he Al-Anon policy will delay processing of the registration. Contact your Area Group Records Coordinator or the WSO for further information.

Location: Meeting Place

Meeting Address

City

State/Province

Zip/Postal Code

Country

Contact First Name

Phone Number

Contact #2 First Name

Phone Number

5. Meeting Details

Day

Time

Check one

AM PM

Type:

Open Closed

Spoken Language

Member Count

check all that apply

Additional Meeting

Day

Time

Check one

AM PM

Type:

Open Closed

Spoken Language

Member Count

check all that apply

*Held in conjunction with a regular Al-Anon group meeting: not considered an Al-Anon group. Provides newcomers a single introduction to Al-Anon.
**Attendance changes frequently; not considered an Al-Anon group. Attendees are invited to go to regular Al-Anon meetings.

6. Current Mailing Address (WSO mail for the group is sent to the CMA postal and email address)

First Name

Last Name

Street/PO Box

City

State/Province

Zip/Postal code

Country

Phone Number