Change of Address


	Change of Address Fill out this form or call 1 (800) 422-1275 to notify us of a change of address!

Your Name

Street Address

Apt. No.

City, State, Zip

Telephone

Date of Move

			Address changes require two week processing time. Please report changes as soon as possible.

� 2004 POLISH AMERICAN JOURNAL, P.O. BOX 328, BOSTON, NY 14025-0328 | (716) 312-8088 | Toll Free (800) 422-1275

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