MCHGA address update form

Please enter your NAME and Email address (* required for verification).
Then, enter any other information you wish to add or update.
You may OMIT (leave blank) any fields you do not wish to have changed.
Press the "Submit" button when ready, or close this window to cancel.

NAME*:
Email address*:

Street Address:
City:
State:
Zip code:
Phone numbers: day: evening: cell:
Ham license:
USHGA #: USHGA rating:
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