Change of Address Form for Magazine Subscription

Use the form below to change the address where your subscription gets mailed. We require that you first enter the address where the magazine is currently mailed (for verification purposes), then your new address and the date when this change is effective.

Your Personal Information (Fields marked with * are mandatory)
First Name: *
Last Name: *
E-mail: *

Current Address (Address where magazine is currently being sent)
Company:
Address: *
City: *
State/Province: *
Postal/Zip Code: *
Country: *
Phone: *
FAX:

New Address (Address where you wish to receive the magazine in the future)
Company:
Address: *
City: *
State/Province: *
Postal/Zip Code: *
Country: *
Phone: *
FAX:

Date Effective * (Indicate when we should start sending the magazine to new address)
Month:   Day:   Year:   

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Norris-Whitney Communications
23 Hannover Dr., St. Catharines, ON L2W 1A3 Canada 1-905-641-3471 FAX: 905-641-1648 mail@nor.com