Change Request Form

You are required to notify FirstAdvantage� of any change in information for your Little League account, including any change in the name of your league, any change in the physical address of your league and any change in the president/contact information.

If you have a change either to president, league name, or physical address, please complete and submit this form. Please allow 5-7 business days for the processing of your request.

Change Requested:
Street Address: President: Phone: Contact: Email:
Billing Address: Safety Officer: Other:

* Little League Id #
LexisNexis acct #
Old Information:

Little League Name:
Previous Contact Name:
Previous Street Address:
City:
  State:     Zip Code:
Phone Number:
   Fax Number:  
Email address:
New Information:

* Little League Name:
* New Contact Name:
* New Contact Title:
* New Home Address:
* City:
 * State:  * Zip Code:
New Billing Address:
City:
  State:     Zip Code:
* Home Phone #:
    Cell #:        Fax #:  
* Email address:
How do you prefer to be notified of the change?
Email
Phone


*Name/Title of authorizing Little League representative (please print):

*Please acknowledge that all information is correct and that you are authorized to submit changes by entering your name in the field below:

Date:


** The items that are in red MUST be completed or it will result in a delay of processing your request**