Contact Information Submission and Update Form

 
Please enter and send any contact information you want the South Florida Intergroup to have.
We will contact you with information about upcoming events and request your feedback on any CoDA issues that may affect your groups.

We keep your contact information completely confidential. It is NOT passed outside the Florida CoDA service structure.

Your name:  
Your e-mail:  
Your phone number(s):  

CoDA groups you often attend:

 
Your mailing address:  
Any restrictions for us to follow: