Please complete for ANY change of information and press the Submit button at the bottom. Fields marked with * (name, old address information and effective date) are required, since First and Last names are not necessary unique. If you are not sure where to put something, explain in the Comments box.

	*Prefix:	Select Prefix Mr. Mrs. Ms. Rev. Dr.
	*First Name:
	*Last Name:
	Gender:	Male Female
	*Effective Date:	( mm/dd/yy)
	*E-mail address:
OLD INFORMATION
	*Address 1:
	Address 2:
	*City:
	*State:
NEW INFORMATION (Enter changes you want)
	Love Letter Delivery:	Email USmail Don't Send
	Address 1:
	Address 2:
	City:
	State:
	Zip Code:
	Home Phone:	(###-###-####)
	Work Phone:	(###-###-####)
	Home Church:
	Church Location:
	Comments: