Group Registration & Update Form

Group Registration & Update Form
By completing this form your group will be included in all electronic & printed communications produced by the Victorian CSO.
Name of Group
Meeting Day / Time
Meeting Location
Meeting Address
Please indicate:

Open meetingClosed meetingWheelchair access
Number of Meeting Lists required (Bi-monthly, Freight charges apply)
Group Secretary

First NameFamily Name
Email
example@example.com
Phone Number
Group Treasurer

First NameFamily Name
Email
example@example.com
Phone Number
Central Service Office Delegate

First NameFamily Name
Email
example@example.com
SHIPPING ADDRESS for literature orders and all CSO communications

VOLUNTEERS ABLE TO DO 12-STEP CALLS

Rows	NAME	OWN TRANSPORT	SUBURB	OTHER LANGUAGES	TELEPHONE
VOLUNTEER