Has any of your contact information changed since the last reporting period? *
If yes, what information has changed?
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Email Address: *
Your answer
Permission is required by Society policy to electronically publish certain information. What (if any) of your personal information do you give permission to be published on the Kingdom Regnum page or the MoAS Roster page?
Membership Number: *
Your answer
Expiration Date: *
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Do you have a copy of your warrant?
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