Mailing List Request Form

Millersville University Mailing List Request Form

* - denotes a required field

Request Information

Request Information

  • Request Information

  • Date Requested: Date Requested: * / /
    Pick a date.
  • Date to be Completed: Date to be Completed: * / /
    Pick a date.

    (Please allow five working days)

  • Phone Number: Phone Number: * - -
  • (Upload a file below and give a brief description in the space provided)

  • Address Information

  • If campus address, sort by:
    If campus address, sort by:
  • Commonly Requested Groups

    This section allows you to select larger, more commonly requested groups.

  • Select Larger Groups
    Select Larger Groups
  • Check Report Codes Needed:

    This section allows you to select more specific groups. For example, if you only want coaches, check report code 92. If you need further information such as who is included in a particular group, or approximately how many people are in a specific group, please call Human Resources at ext. 3017.

  • Select Specific Groups
    Select Specific Groups
  • Retirees

  • Select Retirees
    Select Retirees