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Group History Form

Please print, complete and return by mail or fax (see below). CONFIDENTIAL - Full Names of AA member should be used.
Cleveland District Office #		General Service # (if known):
Prepared by:		Date:


Group History
Name of Group:
Previous Name(s) if any:
Date Founded:
Founder(s):


Early Members:


Place and time of first meeting:

Current location (moved?):

History (anniverseries, special meetings, outside speakers, notes about founders, etc...)









Use more paper if necessary.
Return by mail or fax: Mail: AA Cleveland District Office, Reserve Sq. Box 20, 1701 E 12 St., Cleveland, OH 44114-3236 Fax: 216-241-5350