Secretary_Handbook_2016

Member Information Change Forms

______________________________________________ ___ ____ ____ ________ Club Name State Dist. No. Zone No. Club No. ____________ _____________________________________ (date submitted) (submitted by) Change CODES: AL - At Large Member AM - New Associate Member AMR - Associate Member renewing AR - Associate Member becoming an Active Member L - Leave of Absence N - New Active Member However, you can also update records by recording changes on this form and sending to P.O. Box 487, Dublin, VA 24084. Use the codes listed above to show what changes have been made. Remember that Ruritan Forever is not a membership type - but rather a payment option for all membership types. This form is also available on line at http://ruritan.org under “resources”. Changes can be made directly to your club data on line through the Ruritan Member Management System ( MMS ) or marked on the membership Audit and Invoice Report that is mailed from the Ruritan National Office monthly. For directions on using the MMS see page five of this handbook.

RA - Active Member moving to Associate RH - Active Member moving to Honorary RS - Ruritan Student Program or Youth Member in a Regular Club T - Transfer from Another Clu b YA- Youth to Adult Member

D - Active Member Dropped E - Active Member Deceased F - Former Member Reinstated H - Honorary Member

Codes

Use extra sheets of paper if you have more changes.

See above

Name

Street/Box #

City

State Zip

Please list any forwarding addresses for members dropped above.

Name

Street/Box #

City

State Zip

Please list any club officer changes that apply this month.

Change Name

Street/Box #

City

State Zip

Please list any address changes for club members below.

Name

Street/Box #

City

State Zip

Old Address New Address Old Address New Address

Please list any changes in club officers.

Name

Street/Box #

City

State Zip

Office Held