Change of Address Form IEA Membership Additions and Changes Form IEA Membership Additions and Changes Form for changes to the Illinois Elks Association mailing list via the Childrens Care Corporation. From (Person Reporting)* Email (Person Reporting) Lodge Name and Number Reason for Listing* New Member Reinstate Change of Address Deceased Demit Name First Last Member Number* New Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Old Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code