Fluorescent Mineral Society - Change of Address Form

FMS Change of Address Form

Thanks for informing us about any changes in your contact information.


Member Number:  (from your your membership card or mailing label)
         Name: 
         Addr:  
         Addr:  
         City:  
        State:  
  Postal Code:  
      Country: 
   Home Phone: 
   Work Phone: 
          FAX: 
   Email Addr: 
             
  Contact via: 
  Deliver via: 
         
Please add any additional info:

Hi,
My previous address/email/phone info was:

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