Group History Form

By providing a group history, it becomes part of the Cleveland District Office Archives. Help us preserve and share the heritage of your group for future generations by submitting this form. Or, you can print, complete and return by mail or fax. See helpful questions. CONFIDENTIAL – Full names of AA member can be used.

Name*

First Last

Phone*

Email*

Name of Group*

Previous Name(s) if any

Date Founded

Founder(s)

Early Members

Has the meeting always been at the same location?

Yes
No

Place of Meeting*

Building or venue name.

First Place of Meeting*

Building or venue name.

Meeting Address

Street Address Address Line 2 City State ZIP Code

First Address of Meeting

Street Address Address Line 2 City State ZIP Code

Current Place of Meeting

Building or venue name.

Current Address of Meeting

Street Address Address Line 2 City State ZIP Code

History (anniverseries, special meetings, outside speakers, notes about founders, etc…)

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