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12 Step Call List Sign-Up

A service opportunity for members with at least one year of continuous sobriety and a willingness to answer the phone when Intergroup calls with the name and number of a still suffering alcoholic who needs information about A.A.

Home Group Name(Required)

Date

Name(Required)

First Last

Phone Number(Required)

Email(Required)

Enter Email Confirm Email

Location(Required)

*Locations: Fort Myers, Alva/LaBelle/Clewiston, Bonita/Estero, Lehigh, Cape Coral, FM Beach/Sanibel/Captiva

0 of 600 max characters

Gender

Days & Hours Available(Required)

You will only be contacted during the days and hours you list on this form. No messages will be left.

Speak Spanish?(Required)

Yes

No

Some

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Comments

This field is for validation purposes and should be left unchanged.

Anniversary Form

Please send an UPDATED form each year

Group/Meeting Name(Required)

Date(Required)

Complete Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Group Number(Required)

Meeting Day / Time(Required)

JANUARY

Please provide the member/s name and anniversary date

FEBRUARY

Please provide the member/s name and anniversary date

MARCH

Please provide the member/s name and anniversary date

APRIL

Please provide the member/s name and anniversary date

MAY

Please provide the member/s name and anniversary date

JUNE

Please provide the member/s name and anniversary date

JULY

Please provide the member/s name and anniversary date

AUGUST

Please provide the member/s name and anniversary date

SEPTEMBER

Please provide the member/s name and anniversary date

OCTOBER

Please provide the member/s name and anniversary date

NOVEMBER

Please provide the member/s name and anniversary date

DECEMBER

Please provide the member/s name and anniversary date

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Name

This field is for validation purposes and should be left unchanged.

New Group Form

"*" indicates required fields

Group/Meeting Name*

Date

Complete Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Group Number*

Meeting Day/Time

:

Member's Name*

Anniversary Date

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Phone

This field is for validation purposes and should be left unchanged.

Event Submission Form

"*" indicates required fields

Name*

Email*

Phone*

Add Your Contact Information to Event?

Yes

No

Group Name*

Name of the Event

Start Date and Time

Be sure to put AM or PM on the time.

DATE

Time

:

End Date and Time

Be sure to put AM or PM on the time.

:

Name of Venue (where will this be held?)*

This could be where your group meets, a banquet hall, or anywhere else.

Address of Venue*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Event Organizer*

For example, this could be your group name, venue, or individual.

Cost of Event*

Enter 0 for FREE.

Other Event Details*

This field is required so we can show some information about your upcoming event. Please include any other information that you feel is interesting or important for this event, such as food will be served, meeting afterwards, etc.

File Upload

Accepted file types: jpg, jpeg, png, gif.

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Email

This field is for validation purposes and should be left unchanged.