Contact

Name

Phone number (optional but helpful)

E-Mail (optional but helpful)

Home Group

Answering Service

I want to be on the 12 step list

Corrections

I would like to speak in the jail

I would like to lead a meeting

Hospitals and Institutions

I would like to lead a meeting

I want to be a backup speaker

Public Information (P.I.)

Want to perform basic P.I. work

Want to speak in schools

Share-A-Day (S.A.D.)

I want to get involved with S.A.D.