UPDATE YOUR PERSONAL INFO

Please fill out the entire form. Items with an asterisk(*) are required.
Please allow three weeks for changes to go into effect.


New Address
* First Name:
 		Middle Name:
Maiden Name:
 		* Last Name:
Spouse First Name:
 		Spouse Middle Name:
Spouse Maiden Name:
 		Spouse Last Name:
* Old Address 1:
 		Old Address 2:
* Old City:
 		* Old State:
* Old Zip:
 		* Old Country:
* Old Daytime Phone:
 		Old Evening Phone:
* E-mail:
 		 
   
* Your Class Years:
 		Spouse Class Years (if they attended Ohio State):
Your Ohio State Degrees:
 		Spouse's Ohio State Degrees (if applicable):

* New Address 1:
 		New Address 2:
* New City:
 		* New State:
* New Zip:
 		* New Country:
New Daytime Phone:
 		New Evening Phone:

Additional Comments: