Membership Contact Information Update

When any of your contact information changes, please let us know by entering the following information:

Tuesday, December 12, 2017, 08:52 AM

Name:

Primary - Legal Name (first):    (mid):    (last):

Nick Name:

Partner (if applicable) - (first):    (mid):    (last):

Partner Nick Name:

Membership Status:

Current Member
Prospective Member
Inactive Member

Email Address:

Current primary email address (required):

New primary email address (if different):  

Second email address (optional):  

Mailing address and phone changes, if any:

Address:

City:    State:    Zip:

Telephone (home):    (other):

Co-host month:

New co-host month (if different):  

Comments:

      

For your protection you will be emailed a confirmation of these changes. You will need to respond to this confirmation before the changes are actually made. If you are changing your email address, the confirmation will be mailed to your existing email address.

         

If you prefer to submit information changes writing, you may send the changes via US Mail to: Membership Services, LANG, 8424-A Santa Monica Blvd.  PMB 249, West Hollywood, CA  90069.