LYCOMING COLLEGE

Change of Address Form

Please notify Lycoming College whenever you have an address change, so you can continually receive the Lycoming Magazine and receive information on upcoming alumni events both on and off campus.

First Name

Maiden Name

Last Name Suffix

Class Year

Old Address

Old City, State & Zip Code

New Address

New City, State & Zip Code

New Phone Number

Email Address

Please help us keep your business information up-to-date as well:

Industry:

Job Title:
Company:
Address:
City:
State:
Zip Code:
Country:
Phone:
Fax:
E-mail:

Would you like us to publish your email address in the Online Alumni Directory?
Yes No