Group Update Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=200 BGCOLOR="#006633" TEXT="#F7F7FF" background="03fd6c00ddvuru.jpg"> <bR> </td> <td valign="top" BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <FONT SIZE="5" COLOR="#0066FF" FACE="Arial" ><B>Al-Anon  Family Groups Intergroup Service Office of Northeastern Oklahoma</B></FONT><FONT SIZE="1" COLOR="#333399" FACE="Arial" >    </FONT> |     H<A HREF="index.htm" TARGET="_top" TITLE="AlAnon Family Groups Intergroup Service"><U>ome</U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="Mission"><U>Mission</U></A>   |   <A HREF="id22.htm" TARGET="_top" TITLE="Meetings"><U>Meetings</U></A>   |   <A HREF="id18.htm" TARGET="_top" TITLE="Events"><U>Events</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Calendar"><U>Calendar</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <A HREF="id33.htm" TARGET="_top" TITLE="Fall Serenity Celebration"><U>Fall Serenity Celebration</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Related Links"><U>Related Links</U></A>   |   <A HREF="id30.htm" TARGET="_top" TITLE="Espanol"><U>Espanol</U></A>   |   <B>Group Update Form</B>   |   <A HREF="id37.htm" TARGET="_top" TITLE="Order Literature"><U>Order Literature</U></A></div> <div> Group Update Form</div> <div> In order to insure that your group is receiving timely Al-Anon information, please help us keep our records current by printing and mailing the following <I><B>or by filling out the form below</B></I> and hitting the submit button:</div> <div> <I> </I></div> <bR> <div> <A HREF="http://members.aol.com/tulsaiso/GroupUpdateFormRev.pdf" TARGET="_top" TITLE="http://members.aol.com/tulsaiso/GroupUpd"><U><I>Printable</I></U></A><A HREF="http://members.aol.com/tulsaiso/GroupUpdateFormRev.pdf" TARGET="_top" TITLE="http://members.aol.com/tulsaiso/GroupUpd"><U> Group Update Form</U></A></div> <bR> <bR> <bR> <div>  <FORM NAME="alanon_update" ACTION="http://www.inworks.net/cgi-win/polyform.dll/alanon_update" METHOD=POST> <div class="formbox"> <div class="formalignbox"> <table cellspacing="0" cellpadding="0" width="440" align="center"> <tr> <td colspan="2" class="formheader"><b><Center><font size="5">Al-Anon/Alateen Group Update</font size></b></Center> <br><br> </td> </tr> <tr> <td> </td> <td align="right" id="reqinfo"></td> </tr> <tr> <td width="140"><label for="Effective Date">EffectiveDate:</label></td> <td width="300" nowrap="nowrap"><input id="Effective Date" type="text" name="Effective Date" size="10" maxlength="35" /></td> </tr> <tr> <tr> <tr> <tr><td>Does your meeting still exist?:</td> <td><input id="Doesyourmeetingstillexistyes" type="radio" name="Doesyourmeetingstillexist" value="yes" style="border:0;width:15px;" /><label for="Doesyourmeetingstillexistyes">Yes</label><br /><input id="Doesyourmeetingstillexistno" type="radio" name="Doesyourmeetingstillexist" value="no" style="border:0;width:15px;" /><label for="Doesyourmeetingstillexistno">No</label></td> </tr> <tr> <td><label for="GroupName">Group Name:</label></td> <td><input id="GroupName" type="text" name="GroupName" size="30" maxlength="35" /></td> </tr> <tr> <tr> <td><label for="MeetingLocation">Meeting Location:</label></td> <td><input id="MeetingLocation" type="text" name="MeetingLocation" size="40" maxlength="35" /></td> </tr> <tr> <tr> <td><label for="IntergroupServiceRep(ISR)">Intergroup Service Rep(ISR):</label></td> <td><input id="Intergroup Service Rep" type="text" name="IntergroupServiceRep(ISR)" size="30" maxlength="35" /></td> </tr> <tr> <td><label for="ISRMailingAddress">ISR Mailing Address:</label></td> <td><input id="LastName" type="text" name="ISRMailingAddress" size="40" maxlength="35" /></td> </tr> <tr> <tr> <td><label for="ISRPhone#">ISR Phone #(s):</label></td> <td><input id="ISRPhone#" type="text" name="ISRPhone#" size="30" maxlength="35" /></td> </tr> <tr> <tr> <td><label for="ISREmailaddress">ISR Email address:</label></td> <td><input id="ISREmailaddress" type="text" name="ISREmailaddress" size="30" maxlength="35" /></td> </tr> <tr> <tr><td>Would your ISR be willing to receive your ISR monthly at the above email address?:</td> <td><input id="emailmailingyes" type="radio" name="emailmailing" value="yes" style="border:0;width:15px;" /><label for="workingyes">Yes</label><br /><input id="emailmailingno" type="radio" name="emailmailing" value="no" style="border:0;width:15px;" /><label for="emailmailingno">No</label></td> </tr> <tr> <tr> <td><label for="GroupRep(GR)">Group Rep (GR):</label></td> <td><input id="GroupRep(GR)" type="text" name="GroupRep(GR)" size="30" maxlength="35" /></td> </tr> <tr> <tr> <tr> <td><label for="GRMailingAddress">GR Mailing Address:</label></td> <td><input id="GRMailingAddress" type="text" name="GRMailingAddress" size="40" maxlength="35" /></td> </tr> <tr> <tr> <tr> <td><label for="GRPhone#(s)">GR Phone #(s):</label></td> <td><input id="GRPhone#(s)" type="text" name="GRPhone#(s)" size="30" maxlength="35" /></td> </tr> <tr> <tr><td>Is this a change in meeting location?:</td> <td><input id="locationchangyes" type="radio" name="locationchang" value="yes" style="border:0;width:15px;" /><label for="workingyes">Yes</label><br /><input id="locationchangno" type="radio" name="locationchang" value="no" style="border:0;width:15px;" /><label for="locationchangno">No</label></td> </tr> <tr> <tr> <tr> <td><label for="Ifyesnewlocationaddress">If yes, new location address:</label></td> <td><input id="Ifyesnewlocationaddress" type="text" name="Ifyesnewlocationaddress" size="40" maxlength="35" /></td> </tr> <tr> <tr> <tr> <tr> <td><label for="Meetingday(s)">Meeting day(s):</label></td> <td><input id="Meetingday(s)" type="text" name="Meetingday(s)" size="30" maxlength="35" /></td> </tr> <tr> <tr> <tr> <tr> <td><label for="Meetingtime">Meeting time:</label></td> <td><input id="Meetingtime" type="text" name="Meetingtime" size="30" maxlength="35" /></td> </tr> <tr> <tr> <tr> <tr> <td colspan="2" class="formheader"></td> </tr> <tr> <td><label for="Additionalinformation">Additional information:</label></td> <td><textarea rows="6" cols="30" id="Additionalinformation" name="Additionalinformation"></textarea></td> </tr> <tr> <tr><td> </td> <td><input type="submit" name="Submit" value="Submit" class="formbutton" /></td> </tr> </table> </div> </div> </form>  </div> </td> </tr></table></body>