DISTRICT 2 GROUP INFORMATION CHANGE FORM

Please use this form if your registered group wants to make a change in the information listed in the South Florida Area 15 registrar database as well as in Fellowship Connection, the General Service Office’s database, which will ensure that you continue to stay connected to your district, to South Florida Area 15, and to the General Service Office. Examples of changes include change in meeting place; change in General Service Representative, Alternate General Service Representative, or group contact; or change in group type (in person, online, hybrid)

PLEASE NOTE: This form will NOT add your group to your local meeting list, nor will it add your group to the online Meeting App. Please contact your Intergroup or Central Office for information on how to do that.

Submitting this form will send the information District 2 Registrar.

All Required * fields must be completed for your district registrar to process this form for your group

What Information do you Want to Update? Please Only Fill Out What is Changing

Group Name *

Group Number *

Can be found on www.area15aa.org

Group Start Date

Meeting Type

In Person Only
Online Only
Hybrid

Group Location (Name of Church, Park, etc. If virtual, write 'virtual')

Group Street Address (if the meeting is in a physical location)

Group City, State, Zip Code (if the meeting is in a physical location)

Number of Group Members

Group Language

English
Spanish
French
Other

Your Group’s General Service Representative (GSR’s) Name:

GSR Phone Number

GRS's Email Address

GSR's Street Address (regardless of whether the group meets in person or virtually)

GSR's City, State, Zip Code

Does GSR want to receive a GSR kit from GSO?

Yes
No

If so, does GSR want a digital kit or a hard-copy kit?

Digital
Hard Copy

Does GSR want to receive District 2 agendas/minutes? (Digital Only)

Yes
No

Does GSR want to receive Area 15 agendas/minutes? (Digital Only)

Yes
No

Your Group’s Alternate General Service Representative (AGSR’s) Name:

AGSR’s Telephone Number

AGSR’s Email Address

AGSR’s street address (regardless of whether the group meets in person or virtually)

AGSR’s City, State, ZIP Code

Does AGSR want to receive District 2 agendas/minutes? (Digital Only)

Yes
No

Does AGSR want to receive Area 15 agendas/minutes? (Digital Only)

Yes
No

If Your Group has Neither a GSR nor an Alternate GSR, Please List a Group Contact: Contact name

Contact’s Telephone Number

Contact’s Email Address

Contact’s street address (regardless of whether the group meets in person or virtually)

Contacts City, State, ZIP Code

Does group contact want to receive District 2 agendas/minutes? (Digital Only)

Yes
No

Does group contact want to receive Area 15 agendas/minutes? (Digital Only)

Yes
No

Submitted by: Name *

Submitted by Telephone Number *

In case Registrar has any questions – Thank you!

Submitted by: Email *

Submitted Date *

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