Coastals Membership Information Change Form


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Coastals Membership: Online Dues Payment/Membership Renewal

Renew your annual membership by clicking below. Dues are due by December 31 for the next year.

Please complete the information below ONLY if your information has changed.

Coastals Membership: Online Information Change Form

Please use this form to update your membership information. First - list the information that we most likely have on file (previous information). Then - list your new information. If there has been no change, leave "no change" in the field. For instance - if your address has changed and your e-mail address has remained the same, leave "no change" in the e-mail field.

First and Last Name:

Previous address:

Previous Telephone number:

Previous Work Telephone number (optional):

Previous E-mail address:

Previous Coastals Forum user name (You must have been registered on the forum before filling this in):

If there is a change to your previously submitted information, put new information below

New Name:

New address:

New Telephone Number:

New Work Telephone Number (optional):

New E-mail address:

New Coastals Forum user name (You must register on the forum before filling this in):

Online CaNews Option:

Yes, I want to save trees and access the full-color CaNews and Directory online weeks before the printed copies are mailed - at no extra cost! (Coastals members with forum usernames have access to these documents in the Paid Members Forum). I will still be able to print the newsletter if I need to.

No, please send my black and white CaNews and Directory by first class mail.

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