Candidate Address Form

Cumberland 1Ls (and third-semester 2Ls for January program only): Use the form below to supply the Journal with accurate mailing and email addresses. Letters of invitation to write on for membership are mailed to eligible Cumberland students as soon as we receive class rankings in June and January (third-semester 2Ls) each year.

If you have any questions, submit them below or call (205) 726-2959.

Please supply your address information (the alternate address will be used only if mail is returned)

Name: *

Mailing Address

Street 1: *

Street 2:

City: *

State: *

Zip Code: *

Country: *

Phone: *

E-mail: *

Alternate Address

Street 1: *

Street 2:

City: *

State: *

Zip Code: *

Country: *

Effective Start Date: *

What day should we start using this contact information?

Effective End Date: *

What day should we stop using this contact information?

Other Comments or questions:

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Page last updated: Mon, 11/29/2010 - 11:47

Samford University

Samford University is an Equal Opportunity Institution that complies with applicable law prohibiting discrimination in its educational and employment policies and does not unlawfully discriminate on the basis of race, color, sex, age, disability, veteran status, genetic information, or national or ethnic origin.