GSS ALUM UPDATE FORM

Please fill in the appropriate information as it applies to you.  

What would you like to do?  

Regardless of which you choose, you must fill in Part 1.

Update Name Only  (fill in Parts 1, 2, &  4Comments section, if any) 

Update Address Only (fill in Parts 1,3, 4 & Comments section, if any)

Update Name & Address (fill in Parts 1, 2, 3, 4 & Comments section, if any)

Other, please specify (fill in Parts 1 & 4; add your information in the Comments section)

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Part 1.

Please enter your Member ID number (found above your name on the Perspectives mailing label):

Member ID (if unsure, please leave blank)

Please enter FULL name as it appears on mailing label.  

First:    Middle:

Maiden:    Married:

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Part 2.

If you would like to change Name:

Please fill in the fields below as they apply to you.

First Name:  Middle Name

Maiden Name:     Married Name

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Part 3.

If you would like to change Address:

Please fill in the fields below.  Make sure to include Apt #s and full zip codes.

Address Line 1: 

Address Line 2: 

City:    State:  Zip Code: 

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Part 4.

Please provide your e-mail address below.

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Part 5.

Comments:

 

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Check here if you would like to be contacted when your information is received.

Karen J. Flores
Copyright © 2002 [D & K, Inc.]. All rights reserved.
Revised: March 23, 2002