Meeting Change Request - JCCOAA & D16
(IMPORTANT: You do *not* need to have a google account to fill out this form -- you can bypass that part and go to "What is the name of your A.A. Meeting?")

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What is the name of the A.A. Meeting *
Please check the box(es) next to where you'd like to see this meeting change reflected? *
Required
Would you like to sign up for E-News Blasts?
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Is this A.A. meeting New? Existing? Permanently Closed? *
Is this A.A. meeting currently (or soon to be) Online? In Person? Hybrid? *
What is your A.A. Meeting location (ie name of church) AND what is the exact street address?  (note: if your meeting is online, what are the tech details to attend your meeting?) *
What day(s) of the week does the A.A. Meeting meet? *
Required
What time does the A.A. Meeting start? *
Time
:
What time does the A.A. Meeting end? *
Time
:
Is this A.A. meeting an Open Meeting? Closed Meeting *
Select the format that describes your Meeting *
If your meeting is geared for a Specific Group, please choose an option below:
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Is there anything else you'd like to let our local A.A. Schedule Coordinators know about this meeting to include in the listing?   (i.e. if you selected "other" anywhere on this submission form , here is the place to tell us!)
You are reporting this change to us because:
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What is your First Name? *
What is your Last Name?
What is your email address? *
What is your Phone number?
If we have a question, do you prefer that we reach out to you via
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Submit
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