AVA Network Information Change Form
Please submit any changes to leadership or network contact information using this form.
Network Name
*
Person completing this form
*
First Name
Last Name
Date
*
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Month
-
Day
Year
Date
Network Leadership Change
Please list any leaders stepping down along with the position they held:
Please list the person(s) replacing those stepping down. You must include their email, AVA membership number and network officer title.
If any leader(s) leaving were listed on the network bank account, please verify that they have been removed from the account and replaced with a current leader. You must have 2 signatures on the account.
By clicking this box, I verify that only current leaders are listed as signatures on the network bank account.
Please list current officers listed on bank account (if changed)
Network Contact Information Change
Network Email Change
New official Network Email Address
Network Mailing Address Change
New Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Network Website Change
New Website URL
Submit
Should be Empty: