3 Change your membership information

It’s easy to keep your Probus Information up to date. Just fill in the form below and click the button to email your changes to us. Note: You only need to fill in your name, email and the information that’s changed.

Your Name (required)

Your Email (required)

Birthdate (d /m /yr)

Wife's Name

Prior Vocation

Address

Telephone

Fax

Email for Newsletter

(NOTE: The inclusion of an e-mail address here signifies your wish to receive the Newsletter electronically)

Interests

Contacts:
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(*Please provide the names of two members who could be used to contact you in case of Club needs)

Questionnaire

  1. 1. I would be interested in helping with
    Committee WorkCash DeskGreetingOuting Organizing
    Activities (Please specify)

  2. 2. Please rate the features of our meetings and venue (Poor: 1 to Excellent: 5) and provide comments:

    Refreshments | Speakers | Question period:

    Length of Meetings: | Social gathering before meeting:
    Comments:

  3. 3. Suggestions for Speakers

    Suggestions for Topics

Any other message

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