University of Michigan
2007-2008 Student Directory
Delete Information Form
Please delete the
following information from this year's Directory:
_____ALL INFORMATION_____Home Address_____Local Phone_____Local Address_____Program Level/School/College
Name (please print)_______________________________
Sign__________________________________Date______
Fax or mail this form to:
Nancy Cudney
Student Directory
420 Maynard
Ann Arbor, MI 48109-1327
Fax: 734-936-1054
Deletion requests must be received before September 21, 2007.
Printed name and signature must be included for any deletions.