Lake & Geauga Area Association of REALTORS®, Inc.

9930 Johnnycake Ridge Rd. 3A     Concord Twp., OH 44060

Ph.:  440.350.9000         Fx.:  440.350.9029

We strive to maintain accurate member records; but must rely on you to inform us when changes occur to your home or business information. You may use this form to inform us of any changes and return to our offices as soon as possible.  Please allow 2 business days for any changes to take effect.  We do not publish or distribute personal information such home address and phone number; we do, however, need it for our internal records.

Name:________________________________________  File#: _________________________

Home Address: _______________________________ Phone #_________________________

City: ________________________________ State: _____ Zip Code: ____________________

Company Name: ______________________________________________________________

Company Address: ____________________________________________________________

Company City: __________________________State: _______ Zip Code: _______________

Office Phone #: _________________________ Office Fax #:__________________________

Voice Mail #: ___________________________ Cell #: _______________________________

E-Mail Address: ______________________________________________________________

Website: ____________________________________________________________________

Change Password for LGAAR Website: (Please remember your password does not automatically change to your current Webster password it stays the same unless you fill out this portion of the form to change it.)

Original Password: _______________________Change Password To: _______________________