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Alcoholics Anonymous in Rhode Island

For help with alcohol call:
401-438-8860 (R.I. Central Service)
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401-566-4530 (Distrito 8)
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Form test

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Form testarea61aa2024-04-15T18:51:05-04:00

Group Information Change Form Test

Your First Name and Last Initial *

Your email (in case we have questions) *

Your phone (in case we have questions) *

If you know your Group ID, enter it here:

If you know your District, select it here

Your Group Name *

Group Format(s)

In person
Virtual

Is this a new name?

No
Yes

Group's Old Name

Group Meeting Location

Is this a new location?

No
Yes

Address

Address Line 1

Address Line 2

City

State

Zip Code

Are you changing GSR information?

No
Yes

New GSR Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

New G.S.R.’s will automatically receive a digital G.S.R. Kit.

Digitial GSR kit is fine
We require a printed GSR kit

Are you changing Alternate GSR information?

No
Yes

New Alternate Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

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