Membership Updates

This online form is designed to update existing members info or to identify inactive members.

Please complete all details on the form so that we can accurately update our database.

Membership Change Request

Please identify what information you are changing in the form below: *
SurnameMembership StatusContact Information

Member's Name and Address:

Member's First Name *
Initial
Last Name *
Address *
City /Town *
Province *
Postal Code *
Phone *
Primary Email *

Spouse or partner info

First Name
Last Name

Work Information

Member Status *
City/Town *
Province *
Email
Comments
Submitted By: *

Verification

Please enter any two digit number *Example: 12
This box is for spam protection - <strong>please leave it blank</strong>:

Any further inquiries can be directed to info@telecompioneers.ca