Membership Information Update

Need to make updates to your contact information, your alternate delegate's contact information, or need to add an alternate delegate? Complete the form below to update your contact information or membership information.

Have specific questions about CLSI membership? We’re here to help. Contact us today at membership@clsi.org.

First Name

Last Name

Your Organization

If not applicable, please enter N/A.

Your Email

CLSI Membership Account Number

Change who the current Delegate is.

Current Delegate First Name

Current Delegate Last Name

New Delegate First Name

New Delegate Last Name

New Delegate Email

New Delegate Job Title

New Delegate Phone Number

Add an Alternate Delegate to Your Account. They will be included in communications about your organization's membership, and will be able to vote in your place, if needed. We recommend that you identify an individual to work closely with regarding CLSI activities and responsibilities.

Alternate Delegate First Name

Alternate Delegate Last Name

Alternate Delegate Email

Alternate Delegate Job Title

Alternate Delegate Phone Number

Update your primary address on file.

Street Address

City

State / Province / Region

ZIP / Postal Code

Country

What information do you need updated?

Other Changes to My Membership Information

Send me a copy of my responses

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