Alumni change record form

Make changes to your alumni record:

Name: ______________________________________________

Graduation Name: _____________________________________

Graduation Year:   _____________________________________

Former address: _______________________________________

                         _______________________________________

                         _______________________________________

New address: __________________________________________

                          _______________________________________

                          _______________________________________

Phone Number: _________________________________________

E-mail: _______________________________________________

Other changes: ________________________________________

                             _____________________________________________________

If anyone does not want their address to be given to other alumni members, please let us know in writing as soon as possible. We only give information out to alumni members.

Print and mail completed form to:
Margaret Franklin
311 East Center Street
Danville, PA 17821-1109

Thank you for notifying your alumni association of any changes.