GSR/DCM Position Change Form

Use this form to let the Registrar know the change of a GSR or DCM:

General Service Representative (GSR) or a District Committee Member (DCM).

Please complete this form and be sure to reach out to our Area 45 Registrar regarding any questions. Email:registar@snjaa.org

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ABOUT YOUR CONTACT INFORMATION

Contact information provided is shared with your Area 45 Registrar and relevant committees.
Your data will NOT be shared outside of A.A.

Do you have an A.A.org Account?
If you have an account for on-line Contributions or on-line Literature orders, you must use the same FIRST AND LAST NAME and the same EMAIL ADDRESS. This is your personal account record for GSO.

Your Group Name*

Your Group GSO ID#

Your District

Full Name of the person leaving the position of GSR/DCM*

First

Last

Email Address of the person leaving the position*

Email confirmation*

Phone for the person leaving the position

_____________________________

Full Name of the New GSR/DCM*

First

Last

Your Primary Phone

Type*

Home

Mobile

Your Secondary Phone

TYPE

Home

Mobile

Dates of Your Service Position

The Start/End dates usually follow the calendar dates for the Panel start/end dates. This is the dates you are serving in your position.

Your Service Start Date

Your Service End Date

Your Personal Mailing Address

Street Address Street Address Line 2 City State Zip Code

About Your GSR Kit Materials
All of the new GSRs can expect to receive a Digital Kit in their email. This will be sent from GSO.

Would you prefer a print version of the GSR Kit mailed to your address?

Yes

This form will automatically be processed and sent electronically to the Area 45 Registrar.

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"The GSRs of the U.S. and Canada are the very foundation of our general service structure. Through the GSR, you can make your group's voice heard at district meetings, area assemblies, and eventually the General Service Conference."

General Service Representative (GSR) - Your Group's link to A.A. as a whole.

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Our Mailing Address:

ATTN: REGISTRAR
Area 45 General Service
P.O. Box 3724
Cherry Hill, NJ 08034

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