Member Update Form

To be used by current BCATA members only to change contact information when moving or changing their status, ie. Student to Practitioner, etc.

Fill in just the fields that have changed plus the Mandatory fields marked with an asterisk "*". Tab from field to field.

Mark which fields you want displayed on the Web (Applies to Teachers and Practitioners only).
Space bar or mouse click places a check mark.
` ` `
Field Input Display
On Web?
Email address: *
First Name: *
Middle Name:
Surname: *
Address:
City:
Province:
Postal Code:
Country:
Business Name:
Home Phone:
Work Phone:
Work Ext:
Cell Phone:
Toll Free Number:
Fax Number:
BCATA Status:
Web address:
Add any special instructions in the Comments box below.

Comments:

Reset Form: Submit Changes:
Reset clears the form, Submit sends the form to the Registrar who updates the DataBase.

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