Location Change Request

To be used if your primary place of doing business has or is changing. Your request will only be approved if Co.Mission for the Cause is currently awarding designations in your new location AND if your professional industry is not already occupied by another designee.

First Name *

Email *

Current Location *

New Location *

Date when change in location will occur: *

Reason for change in location *

By submitting this form, you acknowledge that you understand the terms outlined in this change request as follows:

**** You will receive an official notice from Co.Mission for the Cause if your change request is approved. If your request is denied you will not receive a refund for prior fees and dues made but you will no longer be charged for monthly memberships.

We’re here to serve you, so that you can better serve your community!