Group Information Change Form – District 9 General Service

To change any information regarding your group, please complete the Group Change Form below and click Submit. Any questions, contact the District 9 Registrar

While we encourage you to use the online form if you would rather fill out or print the PDF version you can access it HERE.

>>> Group Name *

A.A.’s Traditions suggest that a group not be named after a facility or member (living or deceased), and that the name of a group not imply affiliation with any sect, religion, organization or institution.

Group Number

If you know your group number, please type it here.

>>>What information do you want to update? Please only fill out what is changing: <<<

Group Type

In Person only
Online only
Hybrid/unified

Group Location (name of Church, Park, etc.)

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

Group City, State, Zip Code

Number of Group Members

Group Language

English
Spanish
French

>>> Your group’s General Service Representative (GSR) - GSR's Name

GSR Start Date

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

GSR's City, State, Zip Code

GSR's Telephone Number

GRS's Email Address

Does GSR want to receive a GSR kit from GSO?

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

Digital
Hard Copy

Does GSR want to receive District agendas/minutes?

Does GSR want to receive Area 15 agendas/minutes?

>>> Your group’s Alternate General Service Representative (AGSR) - AGSR’s Name

AGSR Start Date

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

AGSR’s City, State, ZIP Code

AGSR’s Telephone Number

AGSR’s Email Address

Does AGSR want to receive District agendas/minutes?

Does AGSR want to receive Area 15 agendas/minutes?

>>> If your group has neither a GSR nor an Alternate GSR, please list a group contact for your group: Contact name

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

Contact’s City, State, ZIP Code

Contact’s Telephone Number

Contact’s Email Address

Does group contact want to receive District agendas/minutes?

Does group contact want to receive Area 15 agendas/minutes?

>>> Submitted by: Name *

>>> Submitted by: Email *

>>> Submitted Date: *

>>> Submitted by Telephone Number: *

In case the Registrar has any questions. Thank You!

Click here to fill out a Website Maintenance Form

Group Change Form

Copyright © 2023 District 9 A.A. General Service South Florida