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Houston Al-Anon | Alateen
Group Change Form

For Houston and Surrounding Areas

Introduction
You can use the online form below, to make changes to an Al-Anon group. All areas marked as "Required"
will need to be filled in before you can submit the form. If you would like to Print this form after filling it out, click the
to the right of the Submit Button. For more options, please visit East Texas Group Update Page.


Group Change Form   (*) indicates a Required Fields (must be filled in before submitting)
* Date
CMA (Certified Mailing Address) Important for Group Records
* Your Name
* Email Address
* Street Address
* City
* State
* Zip
* Your Phone
* Please outline what changes
need to occur for this meeting.
Be specific.
Include "effective date", if it applies.
GR (Group Rep Information)
* Your Name
* Email Address
* Street Address
* City
* State
* Zip
* Group Contact Phone
* Group Number (provided by WSO)
* Location/Facility Name
* Location Street Address
* Phone Number for Meeting Info
* District Number (4, 5,or 7)
Area of Town
Meeting Day(s)
Meeting Time(s)
Directions to Meeting
Meeting Focus
Length of Meeting
05.08.12



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