This FORM is available for yourself to be filled in to make sure that NEZRA holds up to date information about yourself. Remember we are not clairvoyant, we do not know whether you have moved house, changed offices, e.t.c..

Please complete as fully as possible ...


Email Address * :
Name * :
EIN * :
Postpoint :
Work Address :
Home Address * :
Work Phone Number :
Home Phone Number :
Comments :

To complete your on-line changes, press the Submit button, and your application will be fowarded to the Secretary.