New GSBAA Company Member / Delegate Form

NEWLY ELECTED GSBAA COMPANY MEMBER / CONFERENCE DELEGATE FORM
Service Position(Required)
Provincial Intergroup(Required)
WSD's should select the Intergroup they represented as Company Member / Conference Delegate
MM slash DD slash YYYY
MM slash DD slash YYYY
Contact Name(Required)
Full Postal Address(Required)
Please notify the Company Secretary ASAP if there are changes to your contact details during your term. GSO will contact you with the AA Mailbox username and password.
Name of the Company Member being replaced(Required)
Name of the AA Trustee approving the details(Required)
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Consent(Required)