Allen College

Change of Address Form

INSTRUCTIONS: Please fill in ALL of the information below. Your request will be processed within two days.

*required info

 *Date Change is Effective as of:*Name:  *Old Address: *Old City: *Old State: *Old Zip:Local InformationStreet Address:City:State:Zip:Phone:Your Permanent Address is the same as your local addressPermanent Address InformationPermanent Street Address:Permanent City:Permanent State:Permanent Zip:Permanent Phone:Billing FormStreet Address for Billing:City for billing:State for billing:Zip for billing:Phone for billing: