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Update or Add Your Member Information

If you have an update to your membership information, or are a new member we want to make sure we have your most up to date information so we can make sure you're notified of all things going on in the chapter, and get your monthly newsletter.

Please fill out the form below

Name
Address
City
State
ZIP
Home Phone
Work Phone
Cell Phone
E-mail Address
Date of Birth
Which Phone Number would you like published in the roster
Is there any contact information you would not like published in the roster?
....	Do not publish my address Do not publish my phone number Do not publish my email address
How would you like to receive your newsletter?