Please use this form to update your Membership Information.
Required fields are marked with an asterisk*
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These codes help ensure accurate responsibility for specific locations in the system."}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":5},"layout":"default","localId":"18e688af-b448-4aa8-be1d-0fb690fac7d5"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":35},"layout":"default","localId":"6edeab9c-d8c4-4d6b-ac9c-d987ac430ee8"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"info"},"content":[{"type":"paragraph","attrs":{"localId":"af7bad20-3c5e-4556-912b-86f49b0f7d92"},"content":[{"type":"text","text":"The Authorized Representative is the point of contact for making decisions regarding all items for your membership. It is recommened that this person be a director, operations manager, or superintendent in charge or your facility."}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":15},"layout":"default","localId":"3870b3f0-4b43-4b2b-a818-b2bf96a9bfc6"}},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":213},"layout":"default","localId":"1190dc56-d15b-42c4-8db4-3f4a779bb5ff"}},{"type":"paragraph","content":[]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":177},"layout":"default","localId":"831a2083-dd0d-4942-902a-561034a82937"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":214},"layout":"default","localId":"1b2e4d56-d188-4e81-854b-c2fe67bca37f"}},{"type":"paragraph","content":[]},{"type":"paragraph","content":[]}]}]}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"info"},"content":[{"type":"paragraph","attrs":{"localId":"544b65aa-425d-4956-b6f9-93228e15fb99"},"content":[{"type":"text","text":"The Alternate Representative acts as a back up to the Authorized Representative and is responsible for making decisions regarding all items for your membership in their absence. 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