CHANGE OF ADDRESS FORM - Mail to:
NARFE Chapter 717;  P.O. Box   22023;  Venice, FL 34284.

(If this is a permanent change, what is the effective date of change? ____________________)

Name: ____________________________
Member Id (if known): _______________
Chapter Area Address
Phone Number: ___________________
Street/Apt: ________________________
City, State, Zip: ____________________  

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|___|   Check here if you change your local address/phone each year.
(If so you will need to send in your new address/phone each new season.)

Alternate (Away) Address
Phone Number: ___________________
Start with Month: ____________ Thru Month: ___________________________
Street/Apt: ________________________
City, State, Zip: ____________________