12-Step Sign-Up Form Please enable JavaScript in your browser to complete this form.Name *FirstLastAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Dropdown *MenWomenBillingualLGBTQYoung PeopleWeekdaysAny Time / Any Hour9am to 1pm1pm to 5pm5pm to 10pm10pm to 9amWeekendsWeekends: Any Time / Any Hour9am to 1pm1pm to 5pm5pm to 10p,10pm to 9amA.A. Members who have our Helpline Volunteers permission to call them when someone ask to speak with a sober alcoholic.Confidential List-A.A. members contact information is NOT given out. The person asking for help give us their name and number. The "Twelve Step" volunteer will return their call.Comment or Message *Submit