Group Registration Form

Meeting Location

Group Name:  
Meeting Place:  
Address:  
Borough/City/State/Zip Code:  
Directions:  
Is your meeting accessible to the physically challenged?   Yes    No
Is your meeting interpreted for the deaf?    Yes    No
Registration Type:   New Meeting   New Schedule
New Officer     New Address
Other Change (specify)
First Meeting Date:  
When is your group's monthly business meeting?  

Meeting Schedule

Meeting
Day		 Meeting
Time		 Meeting Description
(i.e. Big Book, Step, Tools, Qualifier)		 Meeting
Length

Trusted Servants

To help us serve you better, please provide the complete name and address, including zip code for each officer. Please specify only one person for each office. Please indicate whether GSA volunteers can leave messages on answering machines.

General Service Representative (GSR)
Name:
Do you wish to be listed as the GreySheet contact for your area on the GSA website?
(Only your first name, last initial, area, and email address will be listed)  Yes    No
Do you wish to be included on the GreySheet International Phone List?  Yes    No
(If so, you may receive the GSA International Phone List each month.)
Address:
City:
State/Zip:
Day Phone:  Msg OK? Yes No  Best times to call?
Evening Phone:  Msg OK? Yes No  Best times to call?
Email Address:
Abstinence Date:

Group Treasurer
Name:
Do you wish to be listed as the GreySheet contact for your area on the GSA website?
(Only your first name, last initial, area, and email address will be listed)  Yes    No
Do you wish to be included on the GreySheet International Phone List?  Yes    No
(If so, you may receive the GSA International Phone List each month.)
Address:
City:
State/Zip:
Day Phone:  Msg OK? Yes No  Best times to call?
Evening Phone:  Msg OK? Yes No  Best times to call?
Email Address:

Group Secretary
Name:
Do you wish to be listed as the GreySheet contact for your area on the GSA website?
(Only your first name, last initial, area, and email address will be listed)  Yes    No
Do you wish to be included on the GreySheet International Phone List?  Yes    No
(If so, you may receive the GSA International Phone List each month.)
Address:
City:
State/Zip:
Day Phone:  Msg OK? Yes No  Best times to call?
Evening Phone:  Msg OK? Yes No  Best times to call?
Email Address:

  

Or Download Form and Mail:

Group Registration Form (.pdf)
Group Registration Form (.doc)

Email to GSAWS Secretary:  gsawssecretary@greysheet.org, or
Snail mail to:  GSAWS Inc., Prince Street Station, P.O. Box 630, New York, NY  10012