|Please print, complete and return by mail or fax (see below).
CONFIDENTIAL – Full names of AA member can be used.
|Cleveland District Office #||General Service # (if known):|
|Name of Group:|
|Previous Name(s) if any:|
|Place and time of first meeting:|
|Current location (moved?):|
|History (anniversaries, special meetings, outside speakers, notes about founders, etc…)|
|Use more paper if necessary.|
Return by mail or fax:
Mail: AA Cleveland District Office, 1557 ST. CLAIR AVE NE, Cleveland, OH 44114-3236