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Change of Address

Change of Permanent Address information must be submitted in writing, with your signature.  Local address information should be changed via Your Connection.

Print and submit this completed form to:

Office of the Registrar
Reed Library
SUNY Fredonia
Fredonia, NY 14063


Name:______________________________________


Fredonia ID or Social Security Number:___________________________

Old Address:


Street Address:______________________________________


City: ___________________ State: _________  Zip Code:____________

New Address:


Street Address:_______________________________________


City: ___________________ State: _________  Zip Code:____________

Telephone Number (include area code):_______________________

Sign Your Name: __________________________________

Date: _______________________

 


Page modified 1/23/08