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Group Information Change Form

South Sound Service Center
344 Cleveland Ave. SE Suite K
Tumwater, WA 98501-3342

Mon-Sat 10am-2pm

teléfono de 24 horas

Phone:(360) 352-7344
24Hr

 

     * REQUIRED FIELDS

Personal Information

Name:

*
Email:

*
Phone: *
Contact for verification?

  Yes

No

Reason for Submitting Form
Purpose of this submittal?
New Group
Group Change
New Meeting
Meeting Change
Delete a Meeting
Other Change

Group Information
Registered?

Yes

No

Not Sure

 
Service Number
Group name :

Is the group over 6 months old:

  Yes

No
Location: hall, building, etc:
Address 1:
Address 2:
City:
Zip code - +4:

 Zip +4

Meeting Information
Day of Week/Frequency
Start Time/Length:
Type:

Business

Closed

Open

 
Format:
Anniversary/Birthday
Speaker
Podium
Discussion
Bring A Professional
Public Information
Hoot Owl
Candle Light
New Comer/Beginner
Spanish
French
Other Foreign Language
Topic:
Book/Literature Study
Big Book
12 and 12
ABSI As Bill Sees It
Came To Believe
Living Sober
Daily Reflections
Grapevine
Stories
11th Step
Step Study
Traditions
Steps & Traditions
Legacy
Sponsorship
Varied
Other Topic
Services:
Baby Sitter
Al-Anon Meeting At Same Time And Location
Alateen Meeting At Same Time And Location
French To English Interpreter
English To French Interpreter
English To Spanish Interpreter
Spanish To English Interpreter
Sign Language To English Interpreter
English To Sign Language Interpreter
Wheelchair Accessible
Wheelchair Accessible Parking
Wheelchair Accessible Bathroom
Environment:
Children Welcome
No Children
Non-Smoking
Smoking
Smoke/Friendship Break
Smoking/Non-Smoking Mixed
Potluck
No Court Slips
Restaurant/Food
Specialty:
Men's
Women's
Gay/Lesbian
War Veteran
Native American
Senior's
Young Peoples
Other Specialty

Explanation or Comments
Please enter your message: