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Change Contact Information Form

Fill out the form below, then click the "Submit" button to have your contact information changed:

Fields in BOLD are required in order for us to identify your record.

First Name
Last Name
Job Title
Organization
Address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
Email
URL
Are You A CBORD
Client?		 Yes    No
How do you prefer to
receive communications
from CBORD?
(Rank these 1, 2, 3 where 1 is most preferable)
Email
Fax
US Mail
Comments

“Payroll deduction is the best thing since sliced bread! Our cash flow decreased dramatically and our sales went through the roof. People spend more when they're not physically handing over cash.”

— Phillip Andrews, Systems/Inventory Administrator
New Hanover Regional Medical Center

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