Group Change Form

Name *

Email *

Group Name *

Group Address if new or changing

Group City *

Location (e.g. Church name, retail center, etc.)

Location Notes (e.g. Room number, behind 7/11, etc.)

Your Position in Group *

• GSR
• Central Office Rep
• Secretary
• Member

Type of Change *

• New Group
• Change Info
• Delete Group

Additional Notes, Message

Submit