TORKS - Change of Address

TORKS Member Online Change of Address

NAME		Required
NEW ADDRESS		Required
CITY		Required

STATE

ZIP

Required

PHONE #	###-###-####	Required
AMA #		Required
EMAIL ADDRESS (Leave empty if you don't have email)		Optional
OTHER COMMENTS		Optional

INSTRUCTIONS

Fill out all the required information and press the submit button. Pressing the submit button automatically sends the information to the treasurer via email. A window listing the information being sent will appear. Close the window and the home page will be re-displayed.

The TORKS Treasurer will send confirmation of receipt of application if a valid and active email address has been provided. Please allow 48 hours for processing.