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| New
address or Change
of address * |
| Name: |
|
| Address, first line: |
|
| Address, second line: |
|
| City:
State/Province: ZIP/Postal
code: |
| Country
(if not U.S.):
Home Phone: Work Phone: Cell Phone:
|
| Christian Scientist?
Yes No Email
address: (preferably Prinmail!**) |
Children's name(s) and birthdate(s)
or grade(s) in school (as of 9/07), if applicable:
|
Please send me more information
on:
|
| *
Old address needed for verification if this is a change of address: |
| Address, first line: |
|
| Address, second line: |
|
| City:
State/Province: ZIP/Postal
code: |
| Country
(if not U.S.):
|
If different than above, submitter's
email address: submitter's
name: (so
we can communicate with you regarding this submission, if necessary) |
** NOTE: We offer a service on the Web for alumni and friends of Principia called Prinmail.
With a Prinmail account, you can create your own email address which forwards
to any "real" email address. While Prinmail only forwards mail sent to it on to
regular email accounts, it also lists you in an online searchable database. To
register or use Prinmail, click any of the links to Prinmail on our site, or click
here: www.prin.edu/prinmail.
If you have a Prinmail account, please enter your principia.edu address on
this page instead of the real address to which it forwards.
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|
| |
If you are unable to complete the above
form for any reason or you
would prefer to speak with us by phone, please call
800-218-7746,
ext. 3307. |