LRS Change Membership Info Form

Please use this form to change your LRS membership information, or to remove your name from the LISNS' LRS list.

You will get a confirmation email once you submit the form and the change will take effect right away.

If you need to make a change that isn't covered in this form, or have questions, please call 902-454-2198 or email [email protected]




First Name(*)

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Last Name:(*)

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Firm/Organization:(*)

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E-mail:

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Phone Number:

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Street Address

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City, Province:

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Postal Code

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Please update:


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Please let us know what other information you need to change, if any:

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Please remove my name from LISNS' LRS list:


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If you are temporarily removing your name from LISNS' LRS list, please indicate the start and end dates, if known:

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If you are permanently removing your name from the LRS list, may we contact you for an exit interview?


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