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IG Officer - Application for Official AA Mailbox
Service Position
(Required)
Intergroup Treasurer
Intergroup PI Convenor
Intergroup Prison Convenor
Intergroup Phone Convernor
Intergroup Chairperson
Intergroup Area Secretary
Provincial Intergroup
(Required)
Leinster Intergroup
Munster Intergroup
Connaught Intergroup
Ulster Intergroup
Area Being Represented (For Area PI Representatives)
(Required)
Term Start Date
(Required)
MM slash DD slash YYYY
Term Finish Date
MM slash DD slash YYYY
Full Name
(Required)
First
Last
Mobile Phone Number
(Required)
Reason for Request for AA Mailbox
Official AA Mailbox Address
(Required)
Name of Approver - AA Provincial Trustee
(Required)
First
Last
Date Form Submitted
(Required)
MM slash DD slash YYYY
Alcoholics Anonymous IrelandAlcoholics Anonymous Ireland
Alcoholics Anonymous Ireland