MEMBER INFO CHANGE FORM

MEMBER INFO CHANGE FORM

Date _________________________

Name ___________________________________________________________

Company ___________________________________________________________

Change:

Cell _________________________ Home _________________________

Email ___________________________________________________________

Fax #: _________________________

Home Address ________________________________________________________

Other ___________________________________________________________

I understand that by providing above my mailing address(es), email address(es),

telephone number(s), and fax number(s), I consent to receive communications

sent from the Greater Alexandria Area Association ofREALTORS® , the MinnesotaAssociation ofREALTORS® and theNATIONAL

ASSOCIATIONOFREALTORS® via U.S. mail, email, telephone,

or facsimile at those number(s) / location(s).

Signature:_______________________________

409 Nokomis St., Alexandria, MN 56308

Telephone 320-762-2022

Fax 320-762-9021

gaaar@gctel.net