Change of Membership Information

This form is provided for CRW members to change their information (postal address, email address, phone, etc) in the membership database. The information entered here will be emailed to the CRW membership coordinator.

Enter the name you gave when you joined. Only enter additional information that has changed.

Name and Address

First

Last

Name(s)

Address

City

State

Zip Code

Contact Information

Home Phone	Enter as XXX-XXX-XXXX
Work Phone	Enter as XXX-XXX-XXXX
Email Address

I would like to receive my monthly issue of WheelPeople electronically via e-mail

NOTE: There is an additional fee for receiving the paper version of WheelPeople by postal mail. If you are receiving WheelPeople electronically and wish to change to paper delivery, you can change this when you renew your membership. (See WheelPeople page for details.)

Press the "Submit" button to send your membership information changes to the membership coordinator.