MO JCI Senate - Address Change

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This page last updated:
10/03/06

Missouri JCI Senate
Information Update and Address Change Form

The form is currently offline. Please include the following information in an email and send it to the Senate.

Senator's Name:

Senate Number: #

Former Name (if name change):

Senator's Email:

Spouse's Name:

Address:

City:

State:

Zip:

Home Phone:

Work Phone:

Employer:

Occupation:

Chapter that presented your Senatorship

I would like to give back to the Missouri Jaycees by (list all):

Judging Speak-Up/Write-Up Competition at State Meeting
Judging Speak-Up/ Write-Up Competition at Region Meeting
Judging Armbruster/Brownfield Competition at State Meeting
Judging Armbruster/Brownfield Competition at Region Meeting
Training at Local Officers Training Session:
Training at Local, Region or State Meeting:
Speaking at Local, Region or State Meeting:
Assisting on a Chapter Recruitment Drive (supplying name, knock & talk, etc.)
Assisting with a new Chapter Affiliation (extension)
Serving as Senate Project Chair Person
Donating prizes for raffles or silent auctions

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Missouri JCI Senate Information Update and Address Change Form

Missouri JCI Senate
Information Update and Address Change Form