Members Change of Information

History Center members, please use this form if you have a change of address or other information so that the History Center can update its information for you.

Note that this is not a form for membership or renewal. You can become a member or renew your membership on the join the ranks of history page.

    Name on membership:

    Previous address:

    New address:

    Effective date of new address:

    Email address:

    Phone number: