Use this form to change or validate your information.
You may wish to validate if you signed up for newsletters or are not receiving other notifications as you feel you should.

If your contact information has changed, please let us know so we can continue to keep you informed about EPHIA activities and events.
Among other things, we use these data to contact you for annual EPHIA elections.
Someone will call or email you to verify this information before we enter it in our database.

Your Name *
Your Name
Name Change
Your Old Name
Your Old Name
Address *
Address
Phone *
Phone