1. What is the name of your group? (required)

2. When did your group start? (required)

4. What is the reason the group was started?

5. What is the frequency of the group?

6. What type of meeting is it?

7. Where did the group first meet?

8. Current group location?

9. Any special problems ever occur, such as places, format of meeting, Mr. & Mrs. AA trying to run the show, etc.?

10. Miscellaneous info with respect to the group?

Your name: (required / private use only)

Your phone: (required / private use only)

Your email address: (required / private use only)

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