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ADDRESS CHANGE AND CLASS NOTES


By filling out and submitting the form below, your information will be forwarded to the Development and External Affairs Office for processing. You may also print this form, fill it in, and mail it to the Development and External Affairs Office at:


Development and External Affairs
Indiana University
School of Health, Physical Education and Recreation
HPER 146
Bloomington, IN 47405-4801

Title:

First Name:

Last Name:

Address:

City:

State:

Zip Code:

If Outside the U.S., enter the Country:

Home Phone:

Employer Name:

Employer Address:

City:

State:

Zip Code:

Country (if outside the U.S.):

Employer Phone:

Facsimile:

E-mail Address:

I Graduated in the Year:

Submit a Class Note:

Comments or Suggestions:

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Last updated: 16 January 2001
URL: http://www.indiana.edu/~hperweb/alum/address.html
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