Group/District Change Form

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This field is for validation purposes and should be left unchanged.

District #(Required)

🔍 area41.org/districts

Please enter a number from 1 to 32.

Group #, if known

If name or location has changed, list old details known

Effective Date/Start Date(Required)

Position Holder Personal Information

Email(Required)

Phone(Required)

Digital kits!

🔗 area41.org/GSR 🔗 area41.org/DCM

GSRs and DCMs may choose to receive a mailed kit from GSO, while Alternates and Mail Contacts should use the digital kits.

Group/Meeting Details

Group Name(Required)

Number of Members(Required)

Venue Name(Required)

Location notes(Required)

e.g., room #103, enter SW door and follow signs

Online URL(Required)

Dial-In #(Required)

Notes(Required)

e.g., password

Meeting Day/Time(Required)

Other meeting format notes

DCM information (if applicable) will be shared with Area 41 web servant(s) to administer email and document storage account.

No information will be shared outside of Area 41 trusted servants, G.S.O. and A.A. Grapevine, and is used for the purposes of A.A. services communications.

Area 41 Registrar | FAQs available at area41.org/registrar.

Questions | Additional Information | Request for Support

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Group/District Change - Area 41 Nebraska

Position Holder Personal Information

Digital kits!

Group/Meeting Details