Address Change Form
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Address Change Form |
| Local: | |||
| Permanent: | |||
| Emergency Contact: | |||
| Last Name: | First Name: | ||
| NMU IN#: | |||
| Address Line 1: | Apartment #: | ||
| Address Line 2: | |||
| City: | |||
| State/Province: | (US and Canada only) | ||
| Zip: | (US and Canada only) | ||
| Country: | (edit if not US) | ||
| Telephone: | |||
| Effective Date: | (optional) |
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Signature:______________________________________ Date:______________ |
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Print this form and and drop off at any NMU campus office or mail to: Northern Michigan University, Registrar's Office, C. B. Hedgcock, Room 2202, 1401 Presque Isle Avenue, Marquette, MI 49855. Fax: 906-227-2231. |
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