PVA Member Update & Request Form  

This page is for PVA Members to update their information. If you are a donor or a "Honorary" Member and would like to update your information, please email it to donorservices@pva.org. Thanks!

Thank you for taking the time to update your membership record. The following information will only be viewed by the PVA Membership & Volunteer Program. All information will be kept confidential and will not be shared. PVA does not sell membership information.

Please provide the following information in full:

Title:
First Name:
Last Name: Suffix:
PVA ID #: (if available)  
Date of Birth: (to be used to verify record) 
New Address Information:   
Street Address:
 
City:    State:
Zip Code:  
Telephone:
Other Telephone:
Email Address:
If changing your USPS mailing address, please also provide your old address for verification purposes.
Old Address Information:
Street Address:
 
City:    State:
Zip Code:
 
Please mail me the following items:
Membership Application Application to Transfer Membership
New Membership Card Prescription Discount Card
Comments/Questions:
Problems updating your record?
Please contact Christi Hillman of the Membership & Volunteer Program

2009, Paralyzed Veterans of America. Reproduction in whole or in part is prohibited. Please e-mail your comments, questions or requests for more information to info@pva.org.

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