Stay in Touch–Update Your Contact Information

Has your information changed? Do you have a new email? Phone? Career? Let us know so we can keep you in the loop on Leadership Fort Wayne happenings!

Name*
First Last
Employer
Preferred Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Preferred Email
Preferred Phone
Are you serving on a non-profit board or committee? If yes, please list:
What types of boards would you be interested in serving on?
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