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Recovery from problems with debt

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New Registration
Meeting Directory Information
Day
Meeting Time (e.g. 7:15 PM)
Group Name:
Meeting Address:
City, State, (country):
Meeting Location: (ex: First Community Church, AA clubhouse, etc.)
Additional Information for the Directory
Does this group have its own mailing address?	Yes No
	If yes:
	Address:
	City, State, (country):
	Zip:
	E-Mail:
	Phone:
Primary Contact Information: Individual groups must include a primary contact in order to have a listing in the DA Directory. This information will not be included in the directory, but rather will be used by the G.S.O. to update and verify information.
Name:
Mailing Address:
City, State, (country):
Zip:
E-Mail:
Phone:
Is the Primary Contact your Group's General Service Representative (GSR) or ISR?	Yes No
	If No, you may list your GSR (or ISR):
	Name:
	Preferred Address:
	City, State, (country):
	Zip:
	E-Mail:
	Phone (Optional):
	Fax:
Back-up email address(different from primary contact)

or

Or Print out the above information and mail to: General Service Office of Debtors Anonymous PO Box 920888 Needham, MA 02492-0009
Your information will be entered into our new database system.

Debtors Anonymous
General Service Office
PO Box 920888
Needham, MA 02492-0009
781-453-2743
781-453-2745 (FAX)
webmaster@debtorsanonymous.org