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New CDA Meeting Form

Please print this page or click here for a .pdf of the page to print. This form is used to inform CDA of a new meeting's name, location, times and type of meeting. CDA will use this information to be included in our online where and when. CDA groups can also use this form to notify CDA if there are any address changes or other changes to the group that CDA should be aware of.

Please send changes to:

CHEMICALLY DEPENDENT ANONYMOUS
General Service Office
P O Box 423
Severna Park, MD 21146
meetings@cdaweb.org

Group Service Number* *Assigned by CDA General Service Office
Group Name: Number of Members
Meeting Location: Month/Year Meeting Started
Address:
City: State:
Country: Postal Code:
Today's Date: New Update
Meeting Days: Mon Tue Wed Thur Fri Sat Sun
Time: Mon_____ Tue_____ Wed_____ Thur_____

Fri_____ Sat_____ Sun_____
Type: (Check all that apply) Open Closed Step Non-Smoking

Wheel-Chair Accessible Other
Contact Person (GSR):
Phone Number: Email:
Address: City:
State: Zip:
Is CDA literature available at the meeting? Yes No
Does the meeting use the CDA Starter Kit? Yes No
Comments:
This information is kept private for the use of CDA General Service Office only. Only meeting information will be posted to the CDA website www.cdaweb.org



CHEMICALLY DEPENDENT ANONYMOUS
General Service Office
P O Box 423
Severna Park, MD 21146
1-888-CDA-HOPE
www.cdaweb.org