VJMC member profile update form:

We would like to have your current contact information on file so we can keep
you up to date about club activites and to also make sure that your full color
magazine continues to arrive your your mailbox (not someone else's).

If you have any comments or questions you would like to pass on to the club's
membership officer, please add them in the space provided below.

VJMC Member number:
First Name (required):
Last Name (required):
Address Line 1:
Address Line 2:
City:
State/Province:
Postal Code:
Country:
Preferred Email Address:
Preferred Phone Number (required):


Notes for Membership Officer (optional):