New Name Information

Please provide PBA with both your old and new name. PBA requires documentation of a name change. Examples include a driver's license, new Social Security card, marriage license, etc.

Old Name:	Old Name Required
New Name:	New Name Required
Reason for change: Reason Required
Documentation:	File formats accepted: pdf, jpg, gif, png. Maximum file size: 10 MB

If you do not have an electronic copy available, please mail or fax documentation to:

Palm Beach Atlantic University
Attn: Sailfish Services
P.O. Box 24708
West Palm Beach, FL 33416-4708
Phone: (561) 803-2000
Fax: (561) 803-2186

New Address Information

Please provide PBA with your new permanent address.

Address:	Address Required
City:	City Required
State:	State Required
Country:
Zip/Postal Code:	Zip Code Required
Mobile Phone:	If you prefer to have your mobile phone marked as private, please contact Sailfish Services with your request. Please be aware if your mobile phone is set as private, you will not receive PBA Alert text messages.
Reason for change: Reason Required
Please use this address for my: Permanent/Mailing Address Local Address