Roster Change Request Form

Please use the form below to update your membership information in our club roster.  You can update mailing address, phone numbers, e-mail address, and club car status.  It is very important that your correct mailing address is in the roster because that address is where your newsletter and special event flyers will be sent.  To ensure that the roster is correctly updated, please include your member ID number and old mailing address.
  1. Complete the membership info update form below.
  2. Submit by clicking on the "Submit Application" button.
  3. Your request will be automatically e-mailed to the Roster Chairman.
For roster questions, please send e-mail to the Membership Registrar:

Mark Swanson - [mark@swanson.org]

Membership Roster Change Request

IMPORTANT:  Please fill in ALL relevant spaces.
Your newsletter will be mailed to the address on this form.
You must enter your email address in the box below.
.

Name and Old Address

Required fields shown in red
Name:
Email:
Nor Cal Member ID#: (if known)
Street:
City:    State:
Zip Code:

New Information

Street:
City:    State:
Zip Code:
Home Phone:
Business Phone:
E-mail:

E-mail addresses submitted with this form are updated only in the club roster and the club's private email list.
If you are a member of the Yahoo -Nor Cal SAAC email list and wish to change your e-mail address there, you must unsubscribe your old address and re-subscribe with your new address. For more info: yahoo help

Club Car (update ownership info)

Please list Year/Make/Model of each car and indicate
if car was bought or sold:

     

Form last Modified:
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PO Box 700789 San Jose CA 95170