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Change of Address & News Notes Submission Form

Fields marked with an asterisk (*) are required.

Full Legal Name

Last Name*	First Name*	Middle Name
Maiden Name	Preferred Name
Class Year*	# Semesters Attended

Does MacMurray College have permission to share your information with your classmates?*
DO share my information with classmates.
DO NOT share my information with classmates.

Old Information

Street	City	State	Zip
Country	Phone	Email Address*

New Information

Street	City	State	Zip
Country	Phone	Email Address*

Further Education

School	Degree	Major	Year
School	Degree	Major	Year

Vocational Information

Occupation

Company

Spouse Information

Spouse's Name (include maiden)	Class, If Mac Alum
Spouse's Occupation	Company
Date of Marriage

Please enter News Notes here:

Include a file (must be either a .gif or .jpg):

Leave this field blank.

ALUMNI ASSOCIATION
ALUMNI AWARDS
EVENTS & GATHERINGS
NEWS
SERVICES