ASA Roster Update Page

Have you moved? Do you have a new telephone number? This is the place to update the information that appears in the club roster.

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New Members
If you are a new member then you should have already filled out this form as part of paying your dues using the Join ASA! page.

Current Members
Fill out this form and we will update the membership roster with your new information. Please understand that this is not automatic and the data may take 24 hours to be transfered to the roster and updated on the website.

First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Email Address:
Home Phone#:
Work Phone#:
Cell Phone#:
AMA#:
Tx Channels Used:

We also ask that you provide the following emergency contact information:

First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Email Address:
Home Phone#:
Work Phone#:
Cell Phone#: