Notify JOSPT of Your New Address

Please complete the following form to notify the Journal office of your new address and other, current contact information. We don't want you to miss an issue of the JOSPT, and the USPS will not forward second-class, periodical mail such as the Journal.

APTA Member # or JOSPT Subscriber #: *

Full Name: *

Address Line 1: *

Address Line 2:

City: *

State: *

Zip Code:

Country: *

Phone: *

Fax:

Email Address: *

* Required

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