Member Information Update
As we work to elevate the Shaughnessy Experience, it is important that we maintain up-to-date contact and preference details for each member of the Club. We ask that you provide us with your current email address, phone number, home address, food allergies, and more. Please note that many of the questions are optional for completion.
General
Name
*
Mr.
Mrs.
Ms.
Miss
Dr.
Other
Prefix
First Name
Last Name
Member Number
*
Email Address
*
example@example.com
Secondary Email Address
example@example.com
Primary Phone Number
*
Please enter a valid phone number.
Is the above phone a cellphone?
Yes
Would you like to receive text messages from Shaughnessy at the above phone? (cellphone only)
Yes
Secondary Phone Number
Please enter a valid phone number.
Is the above phone a cellphone?
Yes
Would you like to receive text messages from Shaughnessy at the above phone? (cellphone only)
Yes
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please upload an up-to-date headshot (photo).
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Dining
Please specify your food allergies and/or dining preferences (if any). Please note that this is for database purposes.
Submit
Should be Empty: