Request a Change to a Chamber Member – Manchester Iowa Chamber

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Chamber Member Change Request

Use this form to submit a request to edit/change the information associated with a chamber member.

Your Name*
First Last
Your Email Address*
Chamber Member*
Which chamber member needs to be edited?
What type of change needs to be made?*
- Address/location
- Email address
- Phone number
- Business description
- Primary contact
- Other
Current Address
New Address*
Street Address Address Line 2 City State ZIP Code
Current Email Address
New Email Address*
Current Phone Number
New Phone Number*
Current Business Description
New Business Description*
Current Primary Contact
New Primary Contact*
What other changes need to be made?*
Comments
This field is for validation purposes and should be left unchanged.