Change of Address Form

H A R B O U R L I G H T S . C O M

C

hange of Address

HarbourLights.com

>Change of Address

To notify Harbour Lights of your change of name, address, phone, or e-mail address, please complete and SUBMIT this form.

Please enter ALL items under "OLD"
Enter only the information that has changed under the "NEW" heading.

	OLD	NEW
Full Name
Mailing Address
City, State, Zip
E-mail Address
Telephone
Society Membership Number
Comments	If this change should also be made for another individual living with you and who is a member of the Collectors Society, please show their full names in the comments field below.
	Use 'Reset' to clear all the fields and start over.