Central Carolinas Emmaus Community

Personal Information Update Form

Feeling left out? Not getting notified of community events? It might be because we don't have your current information!

Fill out this form to let us know that you've moved, or your telephone number has changed, or that you have a new email address. We try real hard to keep up with the latest information, but you're the best one to keep us updated with your personal information. If you're aware that someone else's information has changed, fill out this form with their information. We'd rather be notified twice than never!

And of course, any information you provide will only be used for community purposes.

New pilgrims: Unless something has changed (email address, phone number, etc), there is no need to fill out this form. We have your information from the original registration form.

Your name:
Spouse's name:
Mailing address:
City, State ZIP:
Your Original walk #:
  
Your e-mail address:
Spouse's e-mail address:
  
Home phone:
Your work phone:
Your cell phone:
Spouse's work phone:
Spouse's cell phone:
  
Home church:
  
Your reunion group name:
Spouse's reunion group name:
  
Add your email to
CCEC Announcement list?

Comments:
  

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