Group Update Form



*Your Name: (First and Last)	*Your Email:

Group Code: (If Known)

*Group Name:	This Group was formed? (Month/Year)

This group holds how many meetings per week?	Area Service Committee Name:

*Regional Service Committee Name

Group Contact Mailing Address
This is typically a stable group member who can forward any communication from NA World Services to the NA group. This may or may not be a current group trusted servant, and is not usually the group's meeting location address.


Old	New
Group Name:	*Group Name:

Contact:	*Group Contact: (First and Last Name)

Address: (Include city, state/province and zip/postal code)	Address: (Include city, state/province and zip/postal code)

Country:	Country:

Phone:	Phone:

Group's Meeting Information
Please indicate whether meeting is open or closed. Also check what day(s) the meetings are held.

Day of Week

Sun

Mon

Tues

Wed

Thur

Fri

Sat

Is Meeting Open or Closed?

Open

Closed

Open

Closed

Open

Closed

Open

Closed

Open

Closed

Open

Closed

Open

Closed

Meeting Time

Language(s)

WC Accessible

Yes

Room Name

*Open NA meetings welcome addicts and interested observers; Closed NA meetings welcome addicts only.

Date	Meeting Format	Meeting Information
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Meeting Location


Old	New
Place:	*Place:

Address:	*Address:

City:	*City:

Borough:	Borough:

State/Providence:	State/Providence

Zip/Postal	Zip/Postal

Country:	Country:

If this meeting is held in a correctional or treatment facility, are there special criteria for entry?

Additional Information

Please copy the letters or numbers above prior to hitting Submit

If you have any questions or concerns that are not related to this group's registration, please contactinfo@na.org