Change of contact information

If you are an HEU member and have moved, or changed other contact information, please use this form to notify our administrative staff so that we can update our records.

A red star * means you must fill out the information on that line.

First name

Middle name/initial

Last name

Local Name

Work site

Mobile phone

Landline phone

Address unit number

Address

City

Province

Postal code

Employer

Job title

If you have more than one job title, please explain in comments section below.

Additional notes/comments

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Disclaimer: Personal information collected on this form will be used to update your contact information in HEU’s membership database.