Area 57 GROUP Change Form Please fill out yearly -AND- When information changes.

Required feilds are marked by *    Other fields need only be completed if information has changed.
Person Completing This Form:   (in case we have questions about it)
* Name:  * Position in Group: * Phone: * Email:
  First and Last      
* Group Name:   * City:   GSO Group Number: Area 57
              Group No. can be obtained from State AA Office  
  District Number:  Number of Members:    
Old Group Information New Group Information
Old info needed only where new info is provided.
Group Name:  
Group Name:  
Old Meeting Place:  New Meeting Place: 
Old Meeting Address: New Meeting Address:
City: ,   OK,   Zip: City:  ,   OK,    Zip 
Group's Meeting Schedule
In each box enter meeting time and format. This form allows for up to 3 meetings per day.
If your group has more meetings, or to provide additional information, use the "Other Information" section at the end of this form.

Meeting Codes are 4 Characters: 1st Character: O=Open, C=Closed; 2nd Character: SM=Smoking, NS= Non Smoking; 3rd Character: BB=Big Book Study, SS=Step Study, TR=Traditions, To=Topic, Di=Discussion, SP=Speaker, AB=As Bill Sees It, DR=Daily Reflections, BG=Beginners, CT=Came to Believe, LS=Living Sober, GR=Grapevine, Ot=Other; 4th Character: H=Handicap Accessible, W=Womens Meeting, M=Mens Meeting

Examples:  7:30pm C-NS-BB or 12Noon O-NS-BG-W
Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Group Contact Information
Designate one contact to receive mail from GSO:
1) GSR (General Service Representative)
New GSR's Name:
Name of GSR being replaced:
New GSR Address: 
City: , OK   Zip:
Home Phone:   Cell:
E-Mail Address: 
OK to List Name & Phone# in GSO Directory? 
OK to receive E-mails from Area 57 Office?     
OK to receive Area 57 Newsletters by Email?   
Will help find BTG Contacts? (See Note below)
2)   or
New Alt-GSR  
Name of Alt being replaced:
New Alt's Address 
City: , OK   Zip:
Home Phone:    Cell:
E-Mail Address:
OK to List Name & Phone# in GSO Directory?  
OK to receive E-mails from State AA Office? 
OK to receive Area 57 Newsletters by Email?
Will help find BTG Contacts? (See Note below)
3) Group Contact
 (If no GSR, usually an oldtimer with consistent address.)
New Contact:  
Address:      
City: , OK   Zip:
Home Phone:  Cell:
E-Mail Address:
OK to List Name & Phone# in GSO Directory? 
OK to receive E-mails from Area 57 Office? 
OK to receive Area 57 Newsletters by Email? 
Will help find BTG Contacts? (See Note below)
4) Group Phone Contact - for GSO
    Also usually an old-timer with consistent contact information.
Name: 
Phone: 
OK to list in GSO Directory?          
5) Other Group E-mail Contacts
   (Others who would like to recieve emails from State Office)  
Name:   E-Mail
Name:   E-Mail
Name:   E-Mail
Name:   E-Mail
5) Other Group Contacts Other Information: 

Treasurer:   Name:      Phone
Secretary:   Name:       Phone
BTG Note: Our Bridge the Gap committee tries to arrange local temporary contacts for those coming out of treatment, detox, correctional facilities etc. The question on BTG above asks whether or not you would be willing to help find such a contact for someone coming to your city upon release from such a facility.

                                                                       

Note that the information submitted will not be encrypted, so there is some small risk that cyber theives might the steal the information. If you prefer not to take this risk, you can hit your browser's print button now, and mail the printed form to Oklahoma State Committee, POBox 18415, OKC, 73154. Then use the cancel button.