Electronic Group Information Form

Please Complete the Entire Form. All required fields on this form must be filled out.

Group Name
Number of Members
Meeting Location
Address
City/Town
Province
Postal Code
Meetings
Sun
Mon
Tues
Wed
Thurs
Fri
Sat
Time
Meeting Type
Language
Wheel Chair Accessible

General Service Representative (GSR)
Group Contact Person

Name
Address
City/Town
Postal Code
Email
Telephone

Alternate GSR
 

Name
Address
City/Town
Postal Code
Email
Telephone
Okay to List in the Directory?

The contact name and telephone number will be included in the GSO Directory with the group's name and service number.

Unique
Information