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Submit a Change of Address

This fill-in form allows you to send E-mail to the Membership department. If your browser doesn't support forms, this page won't work, in which case you should write to coa(send e-mail).

L.A.con IV Change-of-Address Form

Your Full Name
Badge Name
Membership Number
E-mail Address

Old Street Address

Old City, State, etc.

New Street Address

New City, State, etc.
New Phone Number

Other members moving to the same address? Any other comments?

Change of address will be sent to our Membership department.
You should receive a new membership card at your new address in 1-4 weeks.

Rev. 15-Sep-2005