**** THIS FORM IS TO ADD/UPDATE/CHANGE “WHERE AND WHEN” MEETING SCHEDULE PRINTED BY CENTRAL SERVICES OFFICE (CSO) **** Please complete all information above & drop off, email or mail to the Central Services Office [email protected] 3640 S Cedar Street, Suite S, Tacoma WA 98409 253.474.8897 1. Please check which one applies:  An entirely new Meeting  Current information needs to be updated include what is listed now and what the change is  Meeting has been discontinued 2. Please provide the following information: Listed in Current schedule as: Meeting Name: ____________________________ Street Address: ______________________________

Suite/ Room: __________________________

Town: _____________________________________

Zipcode: _____________________________

Day: _______________

Time: ____________

AM or PM

_______________

____________

AM or PM

Change To in schedule: Street Address: ______________________________

Suite/ Room: __________________________

Town: _____________________________________

Zipcode: _____________________________

Day: _______________

Time: ____________

AM or PM

_______________

____________

AM or PM

3. Please put ” X” next to ALL that apply: Open Closed Men’s Women’s Kid Friendly ASL available

LGBT Wheelchair Accessible

4. For any further questions we may have and to verify the change/add/delete , please provide us with your contact information: Name: ________________________________________ Phone: _______________________________________ Email: ________________________________________