Registration for

 Meeting  Secretaries  

 

 

Date ________________________

 

 

Your Name:   First ________________________    Last ________________________

 

Address ______________________________________________________

 

City_____________________________ State __________ Zip _____________

 

Home Phone ________________    Cell Phone  ________________   Work phone  ________________

 

Fax: ________________        E-mail Address __________________________________

 

Date your commitment starts:  _______________    Date your commitment ends:  ________­__

 

Who are you replacing?     Name: ___________________________________

 

 

 

 

Group Name:___________________________________________________________

                                                Please enter group name as it appears in the meeting schedule.

Place where Group Meets: ________________________________________________

 

Group Address: __________________________________________________________

                                   

Group  City:____________________ Meeting Day: _____________ Time _______

 

 

Mail, deliver, email or fax to:

 

AA Central Office

2215 S. El Camino Real, Ste. 204, San Mateo, CA 94403

Phone:  650.577.1310         fax:  650.577.1385

email:  AAsanmateo@AOL.com     website:   www.AA-san-mateo.org

 

You will receive a copy of High Sobriety Newsletter for your term as Secretary or you may choose to include the subscription rate of $6 for a year to help support our newsletter.  Thank you.

 

Rev 9/10