Use this form to notify the HLA of personnel changes.We like to maintain the contact details of 2 people from each hospice. Subscription renewal notices will be sent to the primary contact. Please supply an alternative email address for subscription renewals if required.Hospice / Lottery name*Primary ContactName First Last PositionE-mailPhone:* Area Code - Phone Number New Member Area login required?YesNoIs this a replacement for someone who has left?YesNoWho has left? First Last Secondary ContactName 2 First Last Position 2E-mail 2Phone 2: Area Code - Phone Number New Member Area login required ?YesNoIs this a replacement for someone who has left ?YesNoWho has left ? First Last E-mail for subscription renewals:Use this area to notify us of other changes: Show us you are human:SubmitReset