Update Contact Info

NAME:

NEW NAME (if surname changed):

OLD E-MAIL:

NEW E-MAIL:

Would you like your new e-mail address to be added to our phillyillini@yahoo.com mailing list?

YES, add my new e-mail address to the phillyillini@yahoo.com mailing list.

NO, do not add my new e-mail address to the mailing list.

OLD ADDRESS:

NEW ADDRESS:

OLD TELEPHONE (Home/Work/Cell):

NEW TELEPHONE (Home/Work/Cell):

Please send the updated contact info changes in an e-mail to: webmaster@greaterphillyillini.org

(You can copy and paste this form into the body of your e-mail and make the necessary changes to update your information before e-mailing the webmaster.)

Thank you!