Member Update Form - Move United

If you have not recently, please provide updated contact information for your organization. We want to ensure that all member related communications are getting to the right contacts, and that our public listings of your member organization are accurate.

Member Organization Name*

Member Organization Contacts

Please provide updated contact information for your organizations's Primary and Secondary Contacts. Descriptions of the nature of these designations can be found with each entry, but both Primary & Secondary contacts will be added to distribution list for any member related newsletters and announcements (i.e. grant and training opportunities, etc.).

Primary Contact

This representative will be the contact with which Move United will communicate on higher level areas (i.e. insurance, compliance, etc.). This individual is typically the Executive Director or Board President.

Name	Title	Email	Phone

Secondary Contact(s)

A member organization can add as many Secondary Contacts as they would like. These individuals will be included on the distribution list for all general member related communications.

Name	Title	Email	Phone

General Organization Contact Information

This information will be shared with the public, in part or in whole, as we promote our member network.

Operating Address

Physical address of your main operational site. An operational site is considered a location where most, if not all, of the important functions of your organization are coordinated. Please only include the address of a programming site if it is also considered an operational site.

Street Address Street Address 2 City State ZIP

Do you have more than one operational site?

An operational site is considered a location where most, if not all, of the important functions of your organization are coordinated.

Yes
No

Operating Address #2

Physical address of your secondary operational site. Please only include the address of a programming site if it is also considered an operational site.

Street Address Address Line 2 City State Zip

Is your mailing address different than your primary Operating Address?

Yes
No

Mailing Address

If different from physical address

Street Address Street Address 2 City State ZIP

General Phone

General Email

Organization Website

Facebook

Instagram

Twitter

YouTube

Sports Programs Offered

Select all that apply

Video Link

Program Photos

Drop files here or

Max. file size: 64 MB, Max. files: 5.