178519_Ruritan_SecretarysHandbook

Send this form with any changes to your club’s membership to P.O. Box 487, Dublin, VA 24084. Changes can also be made directly to your club data online through the Ruritan Member Management System ( MMS ). Ruritan Forever is not a member- ship type, but rather a payment option for all membership types. Additional Member Information Change Forms are avail- able online at http://ruritan.org under “Resources.” ________________________________________________ _____________________________________________________ Club Name Club # District Name District # Zone # State Code Change Code Change Code Change AAL At Large Member F Full Member NE New Email A Associate Member FR Former Member Reactivated NP New Phone Number BA Business Associate Member H Honorary Member RY Youth Member in Ruritan Club D Dropped Member L Leave Of Absence Member T Transfer to Another Club E Deceased Member NA New Address YA Youth Member to Adult Member Use the codes listed above to show changes being made. New Members Code Name Address City State Zip Phone Email Current Member Changes Code Name/Member # Address City State Zip Phone Email Drop Current Members Code Name Member # Drop Date Deceased Date

Member Information Change Form