US JCI Senate - Change of Address or Email

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

Address Change

Name(*)

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Senate #(*)

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Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Email Address(*)

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State Membership (list all)(*)

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Preferred Phone Number

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Are you a state officer or serving in a US JCI Senate postion?

YesNo 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.