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Update Member Information

If you need to update your membership information, simply submit the form below. The information will be transmitted to our Membership Coordinator.

Form will be submitted to the MAS Membership Coordinator to update the member database.



Name: * (required field)

Address 1:

Address 2:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

Email:

Date change takes effect:

Choice to be included in our published directory of members, published annually in the printed version of the Gemini newsletter and available on request to members. The list includes your name, city/state and email address.
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Additional Comments / Notes