Change Address Form

If we have to make dubs and resend material because you didn't inform us of your move in time to either hold or correctly address your shipment, you may be billed for the extra dubbing and shipping. Copies of DVD-R are $10 and Express shipping is $6. 

Identification (Required!)

This information will be used to assure the correct student's information is changed. Please input the information that is currently being used by the GOP. 

Your Name:

Your Email:

Current Classes (Required!)  (example: INSY 7006)

  • Class 1:
  • Class 2:
  • Class 3:

Proctor Address Change

Will You Be Changing Proctors?   Yes/No

New Proctor's Name:  

New Proctor's Email:   

New Proctor's Phone Number:  

Proctor's Address 1: 

Proctor's Address 2: 

City:     State:      Zip: 

Delivery Address Change

Do you need to change your Delivery Address?   Yes/No

Effective Date

Name: 

Delivery Address 1    

Delivery Address 2    

City     State     Zip

Phone Number Change

Do you need to change your Phone Number?   Yes/No

New phone numbers:         Effective Date

Home: 

Office: 

Cell: 

E-mail Address Change

Do you need to change your Email Address?   Yes/No

Old e-mail address: 

New e-mail address: 

Please enter the code as it is shown.