DA NYC Intergroup - Zoom Account Interest Form
Please complete this form to receive host member access from NY Intergroup's Business Zoom Account.

Host member accounts cost $21.09/month.

The primary contact will receive a welcome email with the account username and password for the group as well as the meeting ID for the scheduled meeting.

If your primary contact changes, DO NOT USE THIS FORM. Instead, please send an email to danycintergroup@gmail.com with the new contact info.

Suggested service requirements are 90 days of solvency, 2 PRGs and experience with the Zoom platform.
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Name of the Group *
What day of the week is the meeting? *
What time does the meeting start? *
What time does the meeting end? *
What date would you like to start? *
Who will be your primary contact for the group? (First name, last initial) *
Email Address *
Phone Number
Notes or Comments (Include here additional contact info):
Thank you
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