JAINA Calendar Directory

Do NOT submit this form if you are already receiving the calendar regularly and your address has not changed.

Please select the appropriate category below:

New Entry: You have never received a JAINA calendar before and would like to be added to the mailing list.
Update Existing: You are already receiving JAINA calendar, but your address has changed.
Opt-out / Remove Entry: You no longer wish to receive the physical calendar and want your name removed from the list.

Please complete the form below. Fields marked with * are mandatory.

Submission Type *

First Name *

Last Name *

Address Line 1 *

Address Line 2 (Optional)

City *

State *

Zip Code *

Your Email *

Your Phone *

Additional Notes (Optional)

Please provide detailed information on what you are requesting (e.g. "Change address only", "Update phone number", "Remove this entry").