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MEMBER CHANGE FORM
COMPLETE THIS APPLICATION IN ITS ENTIRETY
IN BLUE OR BLACK INK.
DO NOT USE PENCIL OR HIGHLIGHTER.EMPLOYEE/CONTRACT HOLDER INFORMATION
Effective DateEmployer/Group NameREASON FOR
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How to fill out member change form
How to fill out member change form
01
Start by obtaining a copy of the member change form.
02
Fill out the header section of the form with your personal information, including your name, address, and contact details.
03
Indicate the reason for the member change, whether it is a new member joining or an existing member leaving.
04
If it is a new member joining, provide their relevant information such as name, address, contact details, and any additional required information.
05
If it is an existing member leaving, provide their name and effective date of departure.
06
If necessary, provide any additional details or comments in the designated section.
07
Review the completed form for accuracy and ensure that all required fields are filled.
08
Sign and date the form to confirm the information provided.
09
Submit the form to the appropriate authority or department as instructed or required.
Who needs member change form?
01
The member change form is required by organizations or companies that maintain a membership system. It is typically needed when adding or removing members from the organization, such as in clubs, associations, or professional groups.
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