ADDRESS UPDATE

Please fill out the form below if:

Your address label is not properly printed

You encounter a delay in receiving your CLTA journal or newsletter

You have recently moved or will soon be moving

You would like to become a CLTA member

(Either school OR private address, NOT mixed)

Name: (Last) _____________ (First) ______________________

Dept./Street __________________________________________

School _______________________________________________

City _________________________________________________

State/ Province _______________________________________

Country _____________________ Zip Code ________________

Tel. (work) ________________ (home) ___________________

E-mail __________________________ Fax _______________

*Please mail form to CLTA Headquarters at Kalamazoo College, MI 49006