Primary Contact Transfer Form

Under the terms of membership, individual benefits are transferable ONLY for the Primary Contact of an ACA member camp or ACA-accredited camp. The organization can transfer the balance of this Primary Contact membership to another named person by filling out this form.

If there is more than one camp to be transferred, please complete a separate form for each camp.

Fill out the online form below OR download a PDF [1] to fill out and mail or fax back. You do not need to do both.

Camp

Camp: *

ACA Camp ID #: *

Former Primary Contact Information

We must have a forwarding address for the former Primary Contact, otherwise mailings will continue to their former address.

Former Primary Contact Name:

ACA Member ID #:

Forwarding Address:

City:

State:

Zip:

This address is my:

Home

Work

Phone:

E-mail:

Will this individual remain with the camp listed above?:

Yes

If so, please indicate if their ACA membership should continue:

Yes

If ACA Membership is to continue, we will send a renewal invoice. If membership is not to continue, former liaison's membership will lapse immediately.

New Primary Contact Information

Name: *

ACA Individual Member ID #:

This address is my:

Home

Work

Camp/Company Name: (if applicable)

Address:

City:

State:

Zip:

Phone:

Fax:

E-mail: *

On-site Camp Director:

(listed on your camp's listing on ACA's Web site)

Form Completed By

Name: *

Phone: *

E-mail: