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

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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.