Meeting  Application

    Date of Application*:

    Meeting Start Date*:

    Group Meeting Name*:

    Affiliation (AA, Al-Anon, Alateen)*:

    Day(s) and Time(s) Requested*:

    Meeting Format*

    Other Type of Meeting:

    Estimated Number of People*:

    Contact Information:*

    Contact Phone Number:*

    Contact Email:*

    Additional Information

    “Durham’s vibrant recovery community deserves a club
    of its own to help carry the message of recovery, unity,
    and service.”
    Tim H.
    “More meetings, more times, more opportunities to give
    away what has been so freely given”
    Clarissa K.

    You can print out a version of this form and submit the completed form to a Durham Alano Club, Incorporated Board Member, drop off at the club, or mail to:

    Durham Alano Club, Incorporated
    400 Crutchfield Street, Suite A
    Durham, North Carolina 27704

    The Board of Directors will contact you for additional information and to give you the opportunity to share your vision with us.