Families Anonymous
To apply for registration of a new Families Anonymous Group, please fill out the form below.
* Indicates a required field
Meeting Start Date*
Country*
State/Province*
City*
Zip/Postal Code*
Facility Name Where the Meeting will be held*
Address*
Meeting Instructions
Meeting Days(s)*
Meeting Start Time*
Meeting End Time*
Group Contact Phone 1*
Phone 2 (Optional)
Group Web Site (Optional)
Group Contact eMail Address*
Full Name*
Street Address*
State/Province *
Zip Code*
Secretary Phone 1 *
Phone 2 (optional)
Secretary eMail Address *
Questions/Comments
By Signing your name below, you are giving Families Anonymous (FA) permission to use the Group Contact e-mail address and Group Contact Phone # on the FA website.
Signature *
eMail Address*
Date *
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