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