This form will provide input to the association membership database. If that is not your desire, please click the BACK button on your browser now.
Instructions: You may make partial updates, such as updating only your email address. You are required to enter only First and Last name, and your primary e-mail address. Information provided in this form will be used for the sole purpose of Association Functions and will not be released to any other organization or activity.
Notice: Approval for use of this information in the Association Newsletter and on the Association Web Site is assumed unless you request otherwise in the Special Instructions area below, or via e-mail to the Association Director.
Warning: As a precaution against malicious use, this form automatically collects Internet Protocol information about the system from which it was posted.