Ancient Order of the Pterodactyl
TheCoast Guard Aviation Association

Member Address Update Form

This is a two step process

1: Complete the form and click SUBMIT

2: Verifiy the informatiOn and click SUBMIT again
Update of Contact Information - Pterodactyl Members
Name *Required Ptero Number
Current (new) address and contact information
E-mail (Primary)

*
Publish? *
E-mail (Alternate)
Publish *
Street  
Street    
City State Zip
Home Phone Publish ? *
Work Phone Publish? *
Old Address:
(Required to compare against current address in our database to prevent unauthorized changes from someone other than yourself)
Old Street address: *    

Old Zip:

 *    
Old Email    

* Publish: E-mail and Phone numbers will only be published in the Ptero Roster.
Distribution is limited to Ptero members. The list is never published on our web site!

When your changes are completed, hit the Submit button,
then verify the information and click Submit again .


IMPORTANT: Form submission is not complete until you verify the information and click submit again