Member Data Change Form

Transfer posts? Change address? Update continuous years? Correct anything with your membership? It’s all right here on this online form. Our goal is to make your membership needs easy.

Today's Date

Member ID# (9-digit)

Department

Post Number (Presently)

First name

First Name and Middle Initial (unless you don't have a middle initial)

Last name

Check if appropriate:

Deceased

Member above holds an elective office or appointment within the department or district

Honorary Life Membership Code:

Add

Delete

Name Correction

First, Middle Initial and Last

Change of Address

Country/Region

Address

City

Zip / Postal code

New Phone Number

New Email Address

Revise Date of Birth

Revise Continuous Years of Membership

Do you know the last year dues paid? If so, choose "yes". If not, choose "no."

Yes

No

Member must be current to be transferred. The year is at the top center of the membership card.

Member Transferring From:

Department and Former Post Number

Member Transferring To:

Department and New Post Number

Name of Person Completing Form

I do hereby declare the information in this form to be true.

Daytime Phone of Person Filling Out Form

(This must be correct. For authentication purposes, we may call to confirm.)

Email of Person Filling Out Form

(This is so we can send you a confirmation message.)