Information Change Form

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Please use the following form to let us know of any changes you may have in order to help you keep up-to-date on the latest news and events, and to insure you don't miss an issue of Land Line Magazine.

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Confidentiality of member information: OOIDA does not release personal, nonpublic information regarding our members to any nonaffiliated third party under any circumstances. To protect our members and their privacy, OOIDA has always maintained a very strict policy regarding the release of any type of information to outside parties. If you have any questions regarding your information, please contact OOIDA's Membership Department.

 

Please tell us who you are:

First Name

Last Name

Middle Initial

Member Number

(leave blank if not a member)

 

Please fill in your old information:

Street Address

Address (cont.)

City

State
Zip

 

Please fill in the changed information:
Street Address
Address (cont.)
City
State
Zip
DBA
Home Telephone
Business Telephone
Cellular Telephone
Fax
Email