Membership Directory Information

(All information is optional)

The Association wishes to maintain the most up-to-date, accurate membership directory possible however, your assistance is needed. If you've not updated your membership information recently, please take a moment to do so. You may also use this form whenever changes in your status occur. Please complete the form online and click the "Submit" button.

Membership Type          Renewal Year   
Title   
First Name        MI        Last Name   
College/University   
Address        City        State        Zip   
Home Phone        Work Phone        Fax        Email   
                    Recipient of the following awards                                              Association Office(s) Held
Award        Year            Office        Year   
Award        Year            Office        Year   
Award        Year            Office        Year   
Award        Year            Office        Year   
Award        Year            Office        Year   

Comments   

When did you join the Association?    Year