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Institution Name

Enter the name of the Institution.

Institution Type

Click the Select One dropdown, and select an Institution Type.

Mailing Address (Required)

Enter a mailing address. To do so, select one of the following:

·         Address

·         PO Box Only

·         Rural Route

To enter an Address:

·         In the “Street Number” field, enter the number of the location only. For example, if you live at 123 41^st Street, enter 123 in the “Street Number” field; omit 41^st.

·         In the Select one dropdown, select an option to specify the location type of the number in the “Street Number” field.

·         In the “Number” field, enter the number of the location. For example, APT 3, BLDG 5A, etc.

To enter a PO Box Only:

·         In the “Number” field, enter only the number of the PO Box.

To enter a Rural Route:

·         In the Select One dropdown, select an option to specify the type of rural route.

·         In the “Number” field, enter the number of the Rural Route.

·         In the “Box” field, enter the mailbox number.

City

Enter the city in which the address is located.

NOTE: This field is only required if the “Zip Code” field is left blank.

State

Use the “State” dropdown to select the state in which the address is located.

NOTE: This field is only required if the “City” field is completed.

Zip Code

Enter the zip code in which the address is located. If necessary, use the Lookup link to help determine the appropriate zip code of the address.

NOTE: This field is only required if the “City” field is not completed.