Changes of Address, Status etc.

To assist us in keeping membership records up to date and to ensure that you receive the Newsletter or any other communications, please use this form to notify any changes in your location or status


Always Complete this section
Name
Member of which Institution

Change of Status


Complete only those boxes where changes have occurred

Old Particulars

Street
Town
Post Code
Home Phone
Office Phone
Fax
e-mail address


New Particulars

Street
Show Town
Changes only Post Code
Home Phone
Office Phone
Fax
e-mail address

Any other changes

Fax completed form to:
Tom Williams at


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This page updated July 14th 1998 by mcsten@home.com