Step #1: Tell us who you are (Required)
Name:
E-mail Address:
Select One:
	Member
	Spouse
	Other
Local Association:
Social Security #:
Step #2: Provide Your Old Information (Required)
Street Address:
City:
State:
Zip Code:
Home Phone #:
Work Phone #:
Step #3: Provide Your Updated Information: (Please fill in only the changed information.)
New Name:
New Email Address:
New Street Address:
New City:
New State:
New Zip Code:
New Home Phone #:
New Work Phone #:
Duplicate Mailing Information? (Optional) If you are receiving duplicates of any KNEA mailings, please notify the KNEA Membership Department at: KNEA Membership Department 715 W. 10th Ave. Topeka, KS 66612 (785) 232-8271 ext. 123 or 117 E-mail: mbrecord@knea.org If both you and your spouse are KNEA members and would like to reduce the KNEA mailings sent to your household, please complete the following:
The member wishing to discontinue receiving KNEA mailings: (Note: electing this option will stop all KNEA mailings).
Name:
Social Security #:
The member wishing to continue receiving KNEA mailings:
Name:
Social Security #:

Step #4: Submit Update If you have completely filled out the Membership Information Update Form and have verified that the information you have entered is correct, simply click the "Submit" button below.