Area 59 Group Change

Group Change Form
Virtual Groups are encouraged to check with the Officer at Large regarding their preferred District.

If you are unsure of your Group's District or have other questions, please contact the Area Officer at Large: officer-at-large@area59aa.org.
Group ID #
Effective Date*

MonthDayYear
Group Name (Current)*
District*
Group Type/Format*

In-Person (includes hybrid)Virtual (includes phone)
Members (Estimated)

Primary Contact Type*

GSRAlternate GSRMailing Contact
What type of GSR kit would you like to receive?*

Digital - Please email a kit.Printed - Please mail to my address.None
Name*
Email Address*
Phone Number
Address*

Street Address Line 2

CHANGE to Group Name or Location
Has the Group Name changed?

YesNo
OLD Group Name
Enter old group name here; new name at top.
Has the Meeting Location changed?

YesNo
Meeting Location (Address Optional)

If a Virtual group does not have a specific City or State, the Primary Contact’s will be used.

Street Address Line 2

Please join our Area 59 Digital Mailing list!

Our goal is to communicate more efficiently and effectively with groups across Eastern Pennsylvania.
We share several important communications a year, such as:

Messages from the Delegate regarding the General Service Conference.

Details about Area Events, such as Pre-Conference Sharing, and the Delegate Conference Reports.

Information about the annual EPGSA Convention Assembly.
Our mailing list is used for Area 59 purposes only and you may choose to opt-out of future communications at any time.

Would you like to receive Area communications?
Newsletter

Yes, sign me up!
Thank you! You will be signed up for the Area newsletter and receive future communications.
Email Calc
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