GSO GROUP CHANGE FORM

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OLD INFORMATION

Group Service Number

If you do not know your group service number, look it up in the "Group Number Lookup" link below. Otherwise enter "unknown".

District Number

GROUP NAME

Type / Format

In-Person
Online
Hybrid

Group Meeting Location

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Number of Members

General Service Representative (G.S.R.)

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Alternate G.S.R.

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

NEW INFORMATION

GROUP NAME

District Number Address

Type / Format

In-Person
Online
Hybrid

Group Meeting Location

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Number of Members

General Service Representative (G.S.R.)

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Alternate G.S.R.

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

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GSO GROUP CHANGE FORM

OLD INFORMATION

General Service Representative (G.S.R.)

Alternate G.S.R.

NEW INFORMATION

General Service Representative (G.S.R.)

Alternate G.S.R.

Area 02, Alaska Area Committee

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