CLUB UPDATE FORM

To make sure all invoices go to your club treasurer and all merchandise is shipped to you, please complete this form with your current information. Thank You

CLUB INFORMATION / BILL TO
* Club Name
District #
* Treasurer Name
Care of
* Club Address
* City
* State   * Zip Code  
* Day Phone
Fax
* Email

SECRETARY'S INFORMATION
Secretary's Name
Care of
Address
City
State   Zip Code  
Day Phone
Fax
Email

Do you need extra catalogs for you or your officers?
How many?

Please check all spelling and fill out all fields as required. Check this box and click the Send Email button when ready.

 

Please list any other people authorized to purchase from your Club.

AUTHORIZED PURCHASER INFORMATION
Name
Club Position
Address
City
State   Zip Code  
Day Phone
Fax
Email

AUTHORIZED PURCHASER INFORMATION
Name
Club Position
Address
City
State   Zip Code  
Day Phone
Fax
Email

AUTHORIZED PURCHASER INFORMATION
Name
Club Position
Address
City
State   Zip Code  
Day Phone
Fax
Email

AUTHORIZED PURCHASER INFORMATION
Name
Club Position
Address
City
State   Zip Code  
Day Phone
Fax
Email


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