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Updated Information
Enter data for change of addresses, phones or payment received. Only enter the data that needs changing or updating. The only required field is the member name.
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* Indicates required question
Email
*
Your email
Submitter
*
Put your initials on who is filling out the form
Your answer
Name
*
Name of the person you are updating
Your answer
Street
Enter the Street number and Street Name, Apt number, if applicable
Your answer
City
Member's City
Your answer
State
Member's State
Your answer
Zip
Member's Zip Code
Your answer
How pd
How did the member pay?
Check
PayPal
Cash
Clear selection
CK#
Check number on Member check
Your answer
$$
Your answer
Pd thru
Enter the date paid thru, if known. Was 21 now 22-24 if pd $9. Leave blank if you don't know the expiration year.
Your answer
Home#
New HOME phone number ex. 303-924-5882
Your answer
Cell#
New cell phone number ex. 303-924-5882
Your answer
Hire
Enter the member's hire date
MM
/
DD
/
YYYY
Email
Member's Email address
Your answer
Hardcopy
If you would like to get a hardcopy of the newsletter mailed to you for an additional $9.75/calendar yr (generally March, July & November).It's $3.25/issue.
Yes $9.75/yr
Stop sending it
Other:
Remove?
Remove Member from Database
Yes
Clear selection
Comments
Enter any other information that needs to be communicated.
Your answer
A copy of your responses will be emailed to the address you provided.
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