Change in Membership Information

Please use the form below to notify ATS of changes in the information published in Part 2 of the Bulletin, Membership List.

Please enter the name of your member institution, then complete ONLY those areas where information has changed. Leave all other areas blank.

Institution name and address changes must be reported in writing to the Board of Commissioners.

INSTITUTION
	Name of Member Institution
	Address
	City
	State/Province
	Zip
	Telephone
	Telephone 2
	Web Site
	Fax
ADMINISTRATIVE OFFICER
	Chief Administrative Officer
	Chief Administrative Officer Title
	Email Address
	Telephone
ACADEMIC OFFICER
	Chief Academic Officer
	Chief Academic Officer Title
	Email Address
	Telephone
PERSON SUBMITTING CHANGES
	Submitted By
	Email Address
	Telephone