IMPORTANT NOTE: The auto form/mailer is not longer functional, please copy/paste the template (including GSR/Intergroup/Secretary info) into a new e-mail and send the info to the intergroup office - esig@eastsideintergroup.org or call the office at 425-454-9192 to update your group information

It is important that the Intergroup Office have an up-to-date registration from the groups because it is often necessary to contact someone regarding matters affecting your group. Your personal contact info (Name and e-mail) will not be published.

Contact

 Your Name:

 E-mail Address:

Group Info

 Group Name:

 Place & Address: 

 City:                    Zip: 

 Day of Meeting:                      Time:

 Day or Time of business meeting:

Meeting type (mark with "[X]" for all that apply)  [  ] Open

  [  ] Closed

  [  ] Men Only

  [  ] Women Only

  [  ] Gay/Lesbian

  [  ] Spanish

  [  ] Young People

  [  ] Child Care

  [  ] Step Study

  [  ] Handicapped Accessible Additional Comments:

Intergroup Representative (The group's vital link with your Intergroup)

 Name:

 Phone:

 Address:

 City:

 Zip:

General Service Representative (The group's vital link with AA as a whole)

 Name:

 Phone:

 Address:

 City:

 Zip:

Secretary or other permanent member

 Name:

 Phone:

 Address:

 City:

 Zip:

Thank You!