Update your contact info

For changes to your name, address, telephone number, or e-mail address, please fill out the form below.

Please do not use this form for changes to your credit card or other financial information. Please call 1-800-408-8715 to speak with a representative who will be pleased to help you with that information.

Thank you for helping us keep our records up to date.

Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.

Last name * (required)

First name * (required)

Birth date * (required)

Year

Month

Day

Student ID (if known) #

Old address (if applicable)

New address (if applicable)

Date new address takes effect

Year

Month

Day

Current telephone number

Current e-mail address

Additional comments

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