RTS: Change of Address Request

		Communication and Network Services 2484 Shattuck Avenue Berkeley, CA 94720-1640
	DSL Change of Address Request	Phone: 510-643-7000 FAX: 510-643-7046 Email: rts@berkeley.edu


Effective Date:
Employee ID#:
Name:
E-mail:

Old Street Address:
	City:
	Telephone #:

New Street Address:
	City:
	Telephone #:

Comments:
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CopyrightŠ1999 The Regents of the University of California. Internal
Address comments to: rts@berkeley.edu.