NEW YORK NORTH

Group Records Change Form (GR1)

Note: Fields in red are required.
1) WSO ID Number: A value is required.District Number: A value is required. Area Name: NYN
2) Status New        Change        Inactive         Not Sure If Registered
3) Group Focus
(Check only one)		 Regular Al-Anon         Parents             Men              Women
Al-Anon Adult Children           LGBT
4) Changes

(Check all that apply)


Mtg Place        Mtg Day        Mtg Time
GR         Contact
5) Group Type Closed*           Open*
6) Special Needs
7) Special Meetings
8) Current Mailing Address: 

(All WSO mail for the group is sent to this address)
Name:  
Street/PO Box:  
City:      State:     Zip Code:  
Phone Number (555-555-5555):
E-Mail:  

9) Group Name:
10) Meeting Place:
11) Meeting Address:
City: State: Zip Code:
12) No. of Members:

14) Contacts (WSO refers newcomers and visitors to these members for information about your meeting.)
First Name: Phone# (555-555-5555):
First Name: Phone# (555-555-5555):

*See Al-Anon/Alateen Service Manual for information and/or definitions
**See Beginners' Meeting Guidelines (G-2) for meeting format

Submitted By: A value is required. Date: A value is required.
Phone: A value is required. E-Mail: A value is required.

Please notify District Representative and local Al-Anon Information Service/Intergroup of changes.