GSR Registration Form

Please complete the following and click “Submit” at the bottom of the page to send the form to the ISO office. If you experience an error, please email to .

For signatures, please type name.

A paper copy can be downloaded here.

GSR Information

Elected GSR

GSR Name

Email Addr

Mail Addr

City

State/Prov

Post Code

Primary Telephone Number

Secondry Telephone Number

Signature of GSR (type your name)

Alternate GSR

Alt. GSR Name

Email Addr

Mail Addr

City

State/Prov

Post Code

Primary Telephone Number

Secondary Telephone Number

Signature of Alt. GSR (type your name)

Signature of witness from your group (type their name)

Group Information

Group Name

Mtg Day/Time

City

State/Prov

Group Code**

Mtg Address

Post Code

**Note: If an electronic vote of GSRs is requested the group code will identify your vote.
Contact the ISO office if you need your group code.

How do we use this information?

By signing and submitting this form, you give the ISO permission to (1) add your email address to the GSR email list, (2) We may give your contact information to other GSRs or ISO entities, upon request, for the purpose of communication within the areas. Signing and submitting this form also entitles you to request the contact information of other GSRs. (3) We will include your email address on the ISO Newsletter and The Outer Circle mailing list to keep you informed of what we are doing at the International level.

Form Instructions

Please send a completed copy by clicking submit below.

You can also print and send:

• By email: info@saa-recovery.org (With the subject “GSR Registration”)
• By fax: 713-692-0105
• By postal mail: GSR Registration; PO BOX 70949; Houston TX 77270-0949

GSR & Meeting Information

Some groups do not publish their meeting location to the internet. Information provided on this form
DOES NOT change that agreement. We use the group information from this form to associate a GSR with
the group they represent so we need, at minimum, enough information to identify your group.

Duties of a Group Service Representative (GSR):

• Receive information from the ISO about important matters affecting groups and the fellowship as
a whole and communicate with group members about ISO matters.
• Relay your group conscience to the Conference Steering Committee or other ISO entities.
• Participate, when possible, in informational meetings of the Conference Steering Committee.
• If requested, vote electronically on matters relating to the ISO.
• Represent your group at area assembly meetings (after areas are established).
• Participate to the extent possible in forming ISO areas.

Any questions?

Email the ISO office – info@saa-recovery.org.
Or call/text/WhatsApp at – (713) 869-4902.


I attest that the individual(s) listed above were duly elected by their group to this service position.