2. Please complete the following form to update LGIT member contact information.
4. 
   
6. Member Details
8. First Name*
9. Middle Initial
10. Last Name*
12. Title*
13. Local Government (City / Town / County):*
15. Contact Details
17. Street Address*
18. P.O. Box
20. City*
21. State*
22. Zip Code*
24. Phone*
25. Fax
26. Email*
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28. 1. Receive an email copy of this form.
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