Member Update

Keep us updated so we can make our Council more effective.
So that we might keep our records current:
Please note that all fields followed by an (*)asterisk must be filled in.

(NOTE: FOR NAVY LEAGUE PURPOSES ONLY - WILL NOT BE RELEASED.)Please provide us the following information:
First Name*
Last Name*
But My Friends Call Me
Your birthday (month/day)
Spouse's first name
Spouse's birthday (month/day)
If applicable, please provide us your change of address:
Street Address
Address 2
City
State
Zip
If not currently assigned, indicate those activities in which you would be willing to assist:
Activities in which you be willing to assist
Programs
Education
Ship Visits
Web Site
Photography
Active Duty Liaison, USMC
Sea Services Recognition
Community Affiliate Liaison
Reserve Liaison, USMC
Membership and Retention
Sea Cadets
Newsletter
Active Duty Liaison, USN
Active Duty Liaison, USCG
Merchant Marine Liaison
Adopt-A-Ship
Recruiting Liaison, USMC
Other
Please provide the following contact information:
Work Phone
Home Phone
FAX
E-Mail Address*
Please enter the word that you see below.