Alumni Address Change

Please fill out the form below to let the Alumni Association know about changes in your address or other contact information to ensure you continue receiving CORDmagazine and other correspondence from Union College.

Name

Prefix: select...N/ADr.ElderHonJdge.MissMr.Mrs.Ms.PastorSir

First name: *

Middle name:

Maiden name:

Last name: *

Year graduated or last year attended:

Old address

This helps us ensure we are changing the right person's information.

Street, including apt./suite if applicable:

City:

State/Province:

ZIP code:

Country:

Phone number:

E-mail:

New address

Street, including apt./suite if applicable:

City:

State/Province:

ZIP code:

Country:

Phone number:

E-mail:

Change effective as of:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year2009201020112012201320142015

Comments:

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What letter does Nebraska begin with?: *

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