Area and District Officer and Service Chair Change Form
Complete and submit for each individual.
Area and District positions only.
Submit changes for group positions on the Group Change Form.
Are you makng changes for an Area or District Officer or Chair? (If for Group or GSR, please use other form)
Clear selection
District Number
(Enter number only; leave blank for Area 24 positions)
Do you need to mark positions as "vacant" rather than add new officers or chairs? If no, continue with the next question.
Clear selection
Please select the role of the individual from the dropdown menu:
Position, if not listed above, or if individual holds multiple offices, list them here:
First Name *
Last Name *
Mailing Address *
May be either a street address or P O Box
City: *
ZIP Code: *
Preferred Phone No: *
Include area code and use hyphens when entering your number (e.g. 888-555-1234)
Preferred Email Address:
Provide an email address to receive AA-related information, materials, and events.
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