Update Mailing Address & Contact Info

If you are a member, donor, or subscriber and would like to sign up to receive our occasional mailings, or you need to update your mailing address and contact info, please fill out the form below with any necessary information:

Please select one or more of the following options below that apply:*

Member ID #

If you are already a lifetime member, please provide your Member ID # (can be found on several membership items).

Name*

First Last Suffix

PRIMARY Phone*

SECONDARY Phone

SMS Consent

Yes, I agree to opt-in to SMS so that 11-99 staff or organization can text me

I consent to receive conversational (personal outreach from staff), informational, or occasional event/promotional SMS from the CHP 11-99 Foundation. Reply STOP to opt-out; Reply Help for support; Message and data rates apply; Messaging frequency may vary. Privacy Policy can be found here: https://chp11-99.org/privacy-policy/.

Email*

Please enter your preferred email. You will be automatically subscribed to our email database to receive important news, updates, and occasional publications and promotions. You can opt out at any time by clicking "unsubscribe" on any of our emails.

I would like to update or add my PRIMARY mailing address below:*

NOTE: All addresses and personal information are kept strictly confidential and secure

PRIMARY Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I would like to update my SECONDARY address below:*

NOTE: All addresses and personal information are kept strictly confidential and secure

SECONDARY Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Anything else you would like us to know?

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Update Mailing Address & Contact Info

Please take a minute to ensure our records are up-to-date.