Amendment Form Please enable JavaScript in your browser to complete this form.Name *FirstLastDate *Phone *Email *Date of Birth *This is so we can make sure we update the correct account.What type of membership do you have? *EFTAnnualUpdate My Credit Card Information (for monthly EFT withdraw) Option 1Name on Credit CardCredit Card #Expiration DateUpdate My Bank Information (for monthly EFT withdraw) OPTION 2Checking AccountSavings AccountName on AccountName of BankAccount #Routing#The following information needs to be changed on my accountNameFirstLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmailEmergency Contact Name and Phone NumberMembership ChangesChanging Membership TypeAdding/Removing person(s)What membership type are you changing to?#1AddRemoveMaleFemaleNameBirthdateAge#2AddRemoveMaleFemaleNameBirthdateAge#3AddRemoveMaleFemaleNameBirthdateAgeSignatureI certify that all the information I have provided on this form is correct, and give South Davis Recreation District permission to make these applicable changes to my account.CommentSubmit
