Owner Contact Information Update

Request to Change*

Check all that apply.

Name Change/Correct Name Spelling
Add or Remove Household Members
Address
Mailing List Preferences
Phone Number
Email
Deceased
Other

Owner Number*

The Owner ID Number should be five numbers or less.

Owner Name*

First Last

We’re sorry for your loss. We’ll follow up with you by phone to discuss next steps. Please confirm we have the correct phone number to reach you.

You’re also welcome to stop by the nearest Lakewinds store location to talk to someone at the Customer Service Desk for help, or you can email MemberChanges@Lakewinds.com.

Previous Name*

First Last

New Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email Address*

Enter Email Confirm Email

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Household Members Change Options*

Please include only members of your household who might do the grocery shopping.

Add Household Members
Remove Household Members

Household Members to Add*

Household Members to Remove*

Please provide more information about how you like to update your account:*

Mailing List Subscription*

Add to Mailing List
Remove from Mailing List
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Email

This field is for validation purposes and should be left unchanged.

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