Contact Information Change Request Form

Please use the below form if you need to update your contact information in our database. We have multiple databases, therefore we are requiring all changes to come through this system so that the proper people are notified. If you need further assistance, please contact your district administrative assistant. 

*First Name
*Last Name
*I am

Please select one from the following options

Clergy Spouse
*Your Current District

Please select your district below.

*Your Current Local Church

Please update any contact information you need to change. You do not have to re-enter information that is not changing. For example, if only your mailing address is changing, only update that field and leave the others blank. 

Mailing Address

If you have a new mailing adress, please enter your address–including city, state and zip code. 

Phone Number

If your phone number has changed, please enter your new number below. Please also specify it is is home, business or cell.

E-mail Address

If you have a new email address, please enter that in below. 

Name of Related Spouse

If you have a spouse who is living in the same home with you and this change pertains to them, please list their name below so that we may also change their information. This only pertains to home address, home phone and a shared email. If they have a new cell phone or individual email address, please have them complete a separate form. 

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