CLAN WALLACE SOCIETY

   CWS Membership Update Form   

Use this form to change and/or update your personal information with the Society.
Use this form if you are a CWS Member and you are not receiving the CWS Newsletter.
Please fill in as much data as possible, so we may fully indentify you from our records.

It is particularly important that members keep their email address up to date as this
reduces cost to CWS, i.e., makes better use of your dues/contributions.

Changes to home and email addresses will be provided to the Database Manager and Membership Chairman so changes can be made to Society membership records. All information submitted will be treated as Society confidential, and will not be shared or distributed in any manner.

Be sure to click the Submit button at the bottom of the form after completing the form.

Membership Information
Member's Full Name
Required
Nickname
Gender     Male
  Female
Maiden Name
(if applicable)
Membership Number
Date on Certificate
Membership Type   Annual
  Life
  Council
Other possible indentifying data 
that would help us identify you;
i.e. who signed your certificate.
 
 

Old Address
Address 1
Address 2
City
State/Prov.
Postal/Zip Code
Country

New (Current) Address - * Required
Address1 *
Address2
City *
State/Prov. *
Postal/Zip Code *
Country *

E-Mail Addresses
It is particularly important that members keep their email address up to date as this
reduces cost to CWS, i.e., makes better use of their dues/contributions.
 
Old eMail Address
New eMail Address
or Current - Required
Would you like your CWS
Newsletter sent via eMail ?		   Yes  No
 

Telephone Numbers
Submitting Telephone numbers is not necessary and is voluntary on your part.
Phone numbers may be used by the CWS Board only for Society business.
Home Phone
Work Phone
Cell Phone
FAX Phone

      

Click the "Submit" button to send your info to the Society.


Copyright © 2005-2010 Clan Wallace Society. All rights reserved. Updated June 30, 2010