IFAMM Change of Address Form

IFAMM Change of Address Form

If you are a member of International Masons and Eastern Stars and not receiving your mail or have moved, please complete and submit the form below. We will confirm via email when your address has been changed in our system.
Member Name*

First NameLast Name
Member's Roll #:*
State*
State*
Lodge/Chapter Name:*
Lodge/Chapter #:*
OLD Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
NEW Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Home Number
Cellular Number
Please list the departments in which you hold a Leadership or Financial Position
Department Name
Department Number:
Position:
Department Name
Department Number:
Position:
IM Detroit Credit Union Account(s):
Member Signature:

Clear
Date

MonthDayYear
Date
Should be Empty:

Please list the departments in which you hold a Leadership or Financial Position