Member Account Change Form Member Account Change Form First Name * Surname * Existing Email Address * Account/ Membership Identification Number * Name on Account Previous/ Original Information Name on Account New Contact Name Previous/ Original Information Contact Name New Username Previous/ Original Information Username New Email Address Previous/ Original Information Email Address New Address 1st Line Previous/ Original Information Address 1st Line New Address 2nd Line Previous/ Original Information Address 2nd Line New Address 3rd Line Previous/ Original Information Address 3rd Line New City Previous/ Original Information City New Reigon/ State/ Country Previous/ Original Information Reigon/ State/ Country New Zip/ Post Code Previous/ Original Information Zip/ Post Code New Phone Previous/ Original Information Phone New Mobile Phone Previous/ Original Information Mobile Phone New Language Preference Previous/ Original Information Language Preference New Existing Apartments/ Weeks owned/ (Apt/Week) – Eg 100/37 Apartment/ Week (Apt/Week) Acquired (A)/ Disposed (D) Date (A) or (D) took place How were the weeks acquired /disposed (Please provide details of the person(s) [Name and contact details] you sold them to OR bought them from): Submit If you are human, leave this field blank. Please submit this form to the Club Representative by pressing the ‘send’ button for verification and change to the member register
