District trusted servant update form – Western Washington Area 72

This information is for the express purpose of communication amongst the members of Area 72 (and GSO where applicable), it is not intended to be given out to anyone without the express consent of the body of trusted servants prior full discussion and informed consent.

Phone

This field is for validation purposes and should be left unchanged.

District(Required)

Effective Date(Required)

Date this change takes place ...

District Position(Required)

Other District Position Title

Language(Required)

English

Spanish

French

Full Name(Required)

First Last

Personal Street Address(Required)

This information is specifically for sending off the GSO so that committee members can get their new relevant information / kits.

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone(Required)

Non-Personal Position Specific Email(Required)

example : webservant@area72aa.org

If your position has an @area72aa.org email/Google account, do you need assistance from the Area Webservant in gaining access to the account?(Required)

No, I already have access to the account

No, I am able to work with the outgoing trusted servant to manually rotate the account to me

Yes, I need the Area Webservant to grant me access to the account (if you need access before the effective date you marked above, please email webservant@area72aa.org)

N/A, my position does not have an @area72aa.org email account

Confirmation Email (optional)

A confirmation email containing the entries from this form will be sent to this email:

Any Additional Info or Questions for the Area Registrar?