Data Update

Cursillo Community of the Archdiocese of Mobile

Please answer all questions to assure that changes are made to the correct listing.
Date

- Month - Day Year
Date
Name *

First Name Last Name
preferred name (nickname)
Name Change or correction

First Name Last Name

Old Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

New Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Delete Email
example@example.com
New Email
example@example.com
Additional Email
example@example.com
Delete Phone Number

- Area Code Phone Number
New Phone Number

- Area Code Phone Number
Additional Phone Number

- Area Code Phone Number
Status

Active Inactive Moved away Deceased
Comments
Should be Empty:

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