Use this form to request that the email address to which you currently receive all your Eli Journals weekly tips be changed. We require your name, address and old email address for verification processes.

Please note that this request will affect ALL tips that you currently receive at your old email address below.

First Name

Last Name

Old Email Address
(where your tips are currently being delivered)

New Email Address
(where you want your tips to be delivered)

Street Address 1

Street Address 2

City

State/Province

Select from list None/Not Applicable ------------------ Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Federated States Of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico Virgin Islands Armed Forces Africa Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory

Zip/Postal Code

Country (if outside the USA)

Phone Number (numbers only please)