Fillable Change Of Address Form printable pdf download

Change Of Address Form

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University of Michigan Ticket Office

Change of Address Form

All address changes have to be done in writing AND must include the signature of the

customer shown in our records. If there is more than one name on the account, we MUST

have BOTH signatures to make the change. Please provide a legible copy of your current

driver's license or state ID that includes a signature.

Please Print Clearly

Check One:

Ticket Holder ______

Waitlist Member ______

Customer No. _______________

Old Address _______________________________________________

City ________________________ State _______ Zip ____________

New Address ______________________________________________

City ________________________ State _______ Zip ____________

Home Phone (______)________________________

Daytime Phone (______)________________________

E-Mail __________________________________________

Signature(s) _______________________________________________

Print Name _______________________________________________

Date ___________________

Fax: 734/936-8942

Michigan Ticket Dept

Phone: 734/764-0247

1000 S State St

Ann Arbor, MI 48109-2201

Change Of Address Form

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