National Weather Association (NWA)

Member Information Change Form

Please type in your new and old data, the effective date of change, and any applicable remarks. This form will be received by the NWA Office. You may also enter the Member Portal and change your membership data online.

New Data

Member Name:  

Affiliation (student or job title, company/agency/school, city and state):  

Mailing Address:
Street:
City:
State:
Zip+4:
Country:

Home phone:  

Office phone:  

E-mail address:  

Effective date of change (MM/DD/YYYY):  

Old Data:

Member Name:  

Affiliation (student or job title, company/agency/school, city and state):  

Mailing Address:
Street:
City:
State:
Zip+4:
Country:

Home phone:  

Office phone:  

E-mail address:  

Remarks:

Thank you for keeping your membership information up to date!



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