Update Details Please complete any fields that need updating. NOTE: You do not need to fill in details in fields that do not need updating. Order Number Stations Name and on air identification Contact Person or Individual Members Name Phone Email Fax Mobile Skype Name MSN Name Web Address Other internet based Contacts i.e Facebook Postal Address Elected Delegate to SCMA Proxy Delegate to SCMA Print Name Position I am authorised by the committee of management at this station to update our details. * I/We Agree and this acts as a signature
