Institute in Basic Life Principles

Giving the World a "New" Approach to Life!

Address Correction

To request an address correction or change of name, fill out the form below and press the submit button.

Your Information

Customer ID (if known)

Title *

First Name *

Middle Initial

Last Name *

Birthday *

Month

Day

Year

Your Spouse's Information (if Applicable)

Customer ID (if known)

Title

First Name

Middle Initial

Last Name

Birthday *

Month

Day

Year

Previous Address

Line 1

Line 2

City *

State/Province *

ZIP/Postal Code

Country

Current Address

Line 1 *

Line 2

City *

State/Province *

ZIP/Postal Code *

Country

Contact Information

Home Phone *

Work Phone

Other Phone

Email Address *

Additional Information

First Seminar (His)

City and Year

First Seminar (Hers)

City and Year

Name Misspelling

If your name was misspelled on mail received from IBLP, please enter how it was misspelled here:

Other Names

Please enter any names that you may have originally registered under, including nicknames, maiden names, previous last names, etc.

Notes

Please list any additional information that may help us accurately identify your record, including previous addresses, names of additional family members, etc.