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USNA Alumni Association Atlanta

Change of Address Form

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USE THIS FORM FOR:  Use this form to change your address, phone number, e-mail address, or any other piece of personal information that is kept in the USNAAA Atlanta database.  (This is the information that will be listed for you in the Atlanta Chapter Roster.)

NOTE:  This form does NOT change your USNAAAAMAIL List
              Server e-mail address!  You must do that separately.
              (Click How to Change my E-mail Address for instructions.)

NEW MEMBERS:  Do NOT use this form to join USNAAAA.   Instead, go to Become a Member and follow the instructions there.

Fill in the following form.  (Items with an asterisk * are required!)

Navigating the Form:  TAB between fields or mouse click in each field. 
Do NOT press the Enter key (that will submit the form before you are done).

Submitting the Form:  Clicking the SUBMIT button at the bottom of the form will e-mail your updated information to the V.P. of Information Systems of our Chapter, who will update the USNAAAA computer database with your new information.

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Personal Section:

First Name:*
 USNA Class
(4-digit year):*
 USNA
Company
Last Name:*
 Rank/Service:
Middle Name:
 Active/Reserves/Retired/Resigned:
Nickname:
 Membership Type:
(Alumni, Associate, Honorary)
Home Address (line 1):*
 Spouse Name:
Home Address (line 2):
 Spouse Nickname:
City:*
 Home Phone:
State:*
 Home Fax:
ZIP Code:*
 Home E-mail:

  

  

Business Section:

 Cell Phone:
Industry/Business:
 Position/Title:
Company:
 Business Phone:
Business Address (line 1):
 Business Fax:
Business Address (line 2):
 Business E-mail:
City:
 State:
 
  		ZIP Code:
 

General Section:
  

   

  
National Membership Status:

I am a member of the USNA Alumni Association (National Organization):

Yes/No

Atlanta Chapter Participation:

I am willing to help with Chapter activities or serve on the Board of Directors:

Yes/No

E-mail Preferences:

E-mail to use for primary communications:
Home/Business 

Current USNAAAAMAIL List Server subscription E-Mail:
Home/Business/Not Subscribed
  
Hobbies:
Please list your hobbies
 		 
  
  
Comments:
Please enter any comments or special instructions about this data below.
(For example, you may want to point out which item or items have changed.)

If you want to clear ALL your entries and start over, click the RESET button below.  When you are finished and everything is entered on the form the way you want it, click the SUBMIT button.

  

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