West Great Lakes ACA Intergroup

Before you fill out this form please go get your BRB! In order to test that you are authorized to submit this form we will ask you a question that you can answer using your BRB.

Your Name – First Name, Last Initial (required)

Your Email (required)

Meeting Name (if it is named)

Day(s) of the week you meet (Hold down the CTRL key and click to select multiple days)
SundayMondayTuesdayWednesdayThursdayFridaySaturday
Meeting Time (required)

WSO Number (if you know it)

Meeting
Facility Name (if any) (required)

Address 1 (required)

Town/City (required)

State
ILINWI

Type of Meeting Change
Update to existing meetingNew meeting
Type of Meeting
OpenAdult Children only
Audience
Open to allMen onlyWomen only
Language
EnglishSpanishany

Directions/Access instructions to meeting

Meeting Subject (Select all that apply
Red Book StudyStepsDiscussionCharacter TraitsBeginnersWorkbook groupsSpeakersTraditionsDaily Affirmation DiscussionLoving Parent/Inner Child Workshop

Contact
Name (first name, last initial)

Phone

Email

Intergroup Rep
Name (first name, last initial)

Phone

Email

Any Additional Information

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Please enter the first word on page 275 of the Big Red Book?

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