USGS

                   Modify Permittee Contact Information                       

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Please use this form to send any changes in your contact information to the Bird Banding Laboratory.

We are increasing our use of email for communication, so please be sure yours is current. If you use filters to avoid receipt of unsolicited mail (spam) please be sure to include BBL on your list of allowed addresses.

Permit Number (required) (If a subpermittee, please include letter as well as number)
First Name: (required) Last Name: (required) 
Address (Line 1): 
Address (Line 2): 
City:                      
State:                    
Zip:                        
Telephone (home):
Telephone (work): 
Fax:                        
Email Address:       (Required, maximum 256 characters)

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