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


Last Name: ______________________________ First Name: ____________________

Fredonia ID: F________________

 

Old Address:

Street Address: __________________________________________________

City: _________________________ State: __________ Zip Code:__________

 

New Address:

Street Address: __________________________________________________

City: _________________________ State: __________ Zip Code:__________

Telephone: (_____) _______-_______

 

Signature: ___________________________________ Date: _____________


Page modified 7/21/14