Unit Member Add/Drop Form

This form is to be used when a member is added to or removed from a Unit

Name(Required)

First Last

Your Email(Required)

Unit Name(Required)

Date(Required)

Unit Director(Required)

MEMBERSHIP(Required)

New

Removed

Deceased

Info Change

Noble Name

First Last

License #

Exp. Date

Address

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

Has this information been updated already by Unit/Club in WEBFEZ?

Yes, the information has already been updated in WEBFEZ

No, the information hasn't been updated yet in WEBFEZ

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