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When you have someone in your group
designated as the GvR . . .

Please send the person’s
name and address to the
Grapevine office to that he
or she can start receiving
material.

Fill out the form below, print it out and mail it to:
PO Box 1980, Grand Central Station
New York, NY 10163-1980

Group
name


Group
location: City
State Zip/PCode

Name of
GvR


Mailing address
of GvR :

If a previous GvR is being replaced, please also give us that name and address

Name of
Former
GvR



Address

View this form using Acrobat: New_GvR_Form

NOTE: To view the Acrobat PDF files you will need to download and install the Adobe®
Acrobat® Reader™ available FREE at www.adobe.com.

Back to the Grapevine Committee page

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