Change of Site Contact

If you're leaving your institution and you need to appoint a new Site Contact for IUG, please fill out this form.

IUG Membership Number *
Innovative Site Code *
Institution Name *
Old Contact Information
Old Site Contact Name Old Site Contact Name * First Last
Old Site Contact Email
Reason for Change *

Reason for Change Retirement Leaving Institution New Position Other Other
Does the Old Site Contact still require a MyIUG account? *

Does the Old Site Contact still require a MyIUG account? Yes No
New Contact Information
New Site Contact Name New Site Contact Name * First Last
New Site Contact Email *
Job Title *
Phone Phone * - ### - ### ####
Does the New Contact have a MyIUG account? *

Does the New Contact have a MyIUG account? Yes No