Change Trusted Servant Information

Existing Group Trusted Servants Updates

Please use this form to make a change to an Existing Group's Trusted Servants, Address or other Group information
Please change GSR's, Group Reps or Group Officers' name and contact information on this form. Please fill out the form as completely as possible.
Attention: Please use your valid e-mail address. This script will send the results of the processing to the entered e-mail. An asterisk * symbol signifies a required field.
Note: You must submit changes to your Intergroup office separately.

E-mail Address: *

Group Name: *

Group ID Number (If you do not know it, call (478) 745-2588 or e-mail [email protected]):

District/Zone Number: *

Effective Date:

Address of Meeting Place: *

Group P.O. Box # :

City where Group meets: *

GSR or Contact Name: *

GSR Phone with area code: *

GSR Address: *

GSR E-mail Address:

Alternate GSR:

Alternate GSR phone with area code:

Alternate GSR Address:

Secretary:

Secretary phone with area code:

Treasurer:

Treasurer phone with area code:

Grapevine Representative:

Grapevine Rep phone with area code:

PI/CPC Rep:

PI/CPC Rep phone with area code:

Corrections Representative:

Corrections Rep phone with area code:

Treatment Facilities Representative:

Treatment Rep phone with area code:

Archives Representative:

Archives Rep phone with area code:

Other Representative:

Other Representative phone with area code:

List GSR info in GSSA Directory for 12-Step/meeting info? *

Name of Meeting Place (shopping center, church):

Number of copies needed of The Georgia Message of A.A.:

Additional Comments:

Above information provided by: *

Date: *

Verification Code: Visual Verification Image

Enter Verification Code: *

* Required

Help with Driving Instructions:
How does someone find your meeting?
To the right are several points to consider when submitting directions to your meeting place.

Group Name
Club House or Church
Exact location - street address, city and zip code
Building description
What side of the road is the building on
Any predominate landmarks
Directions from a major highway
Directions for someone visiting from out of town