Area 58 New Group Registration Form
Please fill out all the required information and as much other information as possible.

Please provide your email address below. Any contact to this email will only be used in case more information or clarification is needed for this group.
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Email *
Group Name *
Group Type *
District number
Please enter in your District number if known
Number of Members
First Meeting Date *
Group Language *
Location Name *
Examples:  Name of Church,  Club name,  City building name etc. (Zoom or online is acceptable)
Group Location Street Address
A street address is NOT REQUIRED for the group.
Group Meeting City *
Group Meeting State *
Group Meeting Zip Code
Okay to list in the G.S.O Directory? *
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