CHANGE OF ADDRESS FORM - Mail to:
NARFE Chapter 717;  P.O. Box   2203;  Venice, FL 34284-2203.

(If this is a permanent change, what is the effective date of change? ____________________)

Name: ____________________________
Member Id (if known): _______________
Chapter Area Address
Phone Number: ___________________
Street/Apt: ________________________
City, State, Zip: ____________________ ___


|___|   Check here if you change your local address/phone each year.
(If so you will need to send in your new address/phone each new season.)
Alternate (Away) Address
Phone Number: ___________________
Start with Month: ____________ Thru Month: ___________________________
Street/Apt: ________________________
City, State, Zip: ____________________