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Need a VISA card?
Apply for the WKU Alumni VISA credit card today by calling toll free 1-800-FIRST-USA. There are two great designs with one featuring Cherry Hall and the other the Red Towel. Don't miss out on this wonderful way to show your spirit, and support the Alumni Association because a portion of every dollar you spend is donated to the alumni program. 

Address Update Form  
 

Thank you for taking the time to let us know your current information. If you would like to include information in the Class Notes section of the ALUMNI magazine, please include these in the Comments field below. This form is to be used to update addresses of WKU alumni or donors currently in our database.

First Name

Middle Name

Maiden Name

Last Name

Spouse First Name

Spouse Last Name

 
Home Email
Employer email
Identification

Graduation Class

Major

Birthdate

Home Address
This address is used for most Westen mailings unless you specify otherwise in the comments section.

Line 1

Line 2

City

State

Zip Code

Phone

FAX
Employer Address
This address is used for company matching gift efforts and for business networking opportunities.

Employer

Your Title

Line 1

Line 2

City

State

Zip Code

Phone

FAX
Alternate Address
If your home or business address is not where your mail should be sent, you may list an alternate address here.

Line 1

Line 2

City

State

Zip Code

Dates in Alternate Home

Phone

FAX

Email

Do you have news to share with Western graduates, faculty or friends? Promotion? Married? Children? Retired? Please share, so we can include you in the Class Notes of the ALUMNI magazine. 
Comments
Please include this information in the Class Notes of ALUMNI magazine.


© 1999 WKU Alumni Association