Please notify Lycoming College whenever you have a mailing address or e-mail address change so you can receive the Lycoming Magazine, event invitations, and other communications from the College without interruption. Other than your first and last names and class year, you need only complete the fields below for which you have new information to provide. Thank you.
* First Name
Maiden Name
* Last Name
Suffix
* Class Year
Address
City
Country Choose a country ... United States of America Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Ashmore & Cartier Islands Australia Austria Azerbaijan Bahamas Bahrain Baker Island Bangladesh Barbados Bassas Da India Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Bosnia & Herzegovina Botswanna Bouvet Island Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verdi Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos (keeling) Islands Columbia Comoros Congo, Democratic Rep Of Cook Islands Coral Sea Islands Costa Rica Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Gloriosa Islands Great Britain Greece Greenland Grenada Guadeloupe Guam Guatamala Guernsey Guinea Guinea-bissau Guyana Haiti Honduras Hong Kong Howland Island Hungary Iceland India Indonesia Iran Iraq Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jarvis Island Jersey Johnston Atoll Jordan Juan De Nova Island Kazakstan Kenya Kingman Reef Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Malawi Malaysia Maldives Mali Malta Man, Isle Of Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Midway Islands Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palmyra Atoll Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Republic Of Ireland Reunion Romania Russia Rwanda Saint Helena Saint Kitts & Nevis Saint Pierre & Miguelon Saint Vincent & The Grenadines Samoa San Marino Sao Tome & Principe Saudia Arabia Senegal Serbia & Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Spratly Islands Sri Lanka St. Lucia Sudan Surinam Svalbard Swaziland Sweden Switzerland Switzerland Syrian Arab Republic Taiwan Tajikistan Thailand Togo Tokelau Tonga Trinidad & Tobago Tromelin Island Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine Un Rep Of Tanzania Union Sov Soc Repub United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands Wake Island Wales West Germany Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe
State Choose a state ... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip
New Phone #(555) 555-5555
New Cell Phone #(555) 555-5555
* E-mail
Marital Status --------------- Married Widowed Divorced Single
Spouse's Name (first and last)
Children's Names (first and last)
Please help us keep your business information up-to-date as well:
Industry --------------- Accounting Administrative/Clerical/Secretarial Agriculture/Ranching Animal Science/Veterinary Medicine Architecture/Urban Planning Art Arts - Fine Arts - Performing/Creative Aviation/Aerospace Banking Brokerage/Securities/Investments Business-Entrepreneur/Owner Childcare Civil Service Communications Computer/High Technology Construction/Contracting Consulting Counseling Dentistry Economics Education - Administration Education - Student Affairs Education - Teaching Energy Resources (Oil, Mining, Etc.) Engineering Entertainment Environmental Science Estate Planning/Trusts/Taxation Fashion/Beauty Finance/Venture Capital Foreign Service Foundations Fund-raising Funeral Services Government - Elective Government - Non-Elective Graphic Design Homemaker Hotel/Restaurant/Catering Import/Export Insurance Interior Decorating/Design Journalism Judiciary Landscaping Law/Legal Services Library Science Management Manufacturing Marketing Mathematics/Statistics Media Medicine/Health:not MD RN Dentist Pharm Military Ministry Nursing Nutrition Personal Services Personnel/Human Resources Pharmacology Pharmacy Physician Public Relations Public Service (Firefighter, Police, Sanitation) Publishing/Journalism Real Estate Recreation/Leisure Services Research/Development Sales Science Skilled Artisan/Technician Social Work Sports Student Trade/Craft Transportation Travel Industry Utilities Volunteer Writing
Job Title
Company
Phone #(555) 555-5555
Fax
E-mail