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Change of Address Form for Members

Please fill out this form and click the "submit" button at the bottom of the page to change your address and/or phone in Southern's membership roster.

To change or add your e-mail address to our mailing list, fill in the required information (*) in the "old address" section and just put your e-mail address in the "new address" section and then click the "submit" button at the bottom.

To contact the Director of Membership for other purposes, send e-mail to

Please let us know your membership status (check one):

I am a current member.
I am a former member, but would like to continue to receive Dixie Run mailings and other notices.
I came to a Dixie Run and want to update my mailing address for future Dixie Run mailings and other notices.


Enter your old address:
First Name: *
Last Name: *
Business Name: if you are a Business Member
Address 1: *
Address 2:
City: *
State: *
Zip Code: *
Member Club: enter the Southern clubs to which you belong (if any)
Member Number: from your Trail Mix label (optional)
   
* - required information


Enter your new address:
Address 1:
Address 2:
City:
State:
Zip Code: (enter 5 or 9 digit zip code)
Home Phone: ( ) - (enter area code plus 7 digit phone number)
Work Phone: ( ) - (enter area code plus 7 digit phone number)
E-mail: *
Additional
Comments:
   
* - required information

 

Note that you must also submit an address change to any clubs you belong (we do not forward this information).

You will receive a confirmation by e-mail in a few days.

             

 

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