CGCI Board Member
Change of Address Form

Board Members:  Please fill out this form and email it to the CGCI Corresponding Secretary, Pat Clayes, at patclayes@aol.com whenever any changes are necessary.   Please underline the change(s). 

Name:                                                                                 Board Position:


Street/Mailing Address:


City:                                                State:                           Nine Digit Zip Code:



Telephone Number (with Area Code):


Fax Number (with Area Code):


Email Address:


Any other change: