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Address Change

Subscription Address Change Form


Submitting this form will update the shipping address for your Ophthalmology Journal and EyeNet Magazine only; it will not update your primary Academy mailing address unless you indicate otherwise in the space provided below. Please allow 1-2 months for this change to take effect.
Academy ID#
Use for:    Subscriptions      All Academy Mailings
Last/Family Name
First Name
Middle Initial
Below is my:    Home Address      Office Address   (Important: please check one)
Address
 
City
State/Provence (if applicable)
Postal Code
Country
E-Mail Address