US JCI Senate - Change of Address

This form allows US JCI Senate members to submit an address change.  Note: All information fields are required (*)

Address Change
Name(*)
Invalid Input
Senate #(*)
Invalid Input
Address(*)
Invalid Input
City(*)
Invalid Input
State(*)
Invalid Input
Zip Code(*)
Invalid Input
Email Address(*)
Invalid Input
State Membership (list all)(*)
Invalid Input
Preferred Phone Number
Invalid Input
Are you a state officer or serving in a US JCI Senate postion?
Invalid Input

This information will be forwarded to the Membership Information Services Program Manager.  Your information will be used to update our membership roster plus your mailing address for Mentors Magazine.  A copy will also be forwarded to your state treasurer and the US JCI Senate Secretary.