PKU Organization of Illinois

Change of address or addition to Mailing List & Directory form

Please help us keep your contact information up to date.

The information you enter below is not kept or stored electronically, for your privacy. It is only sent by email to update our mailing list and directory.

Old Name/Address
New Name
Address
Phone
Email
Metabolic Disorder
Clinic
Children Name(s) and Birthday(s)

Please indicate those with PKU with an * after their name.

Please ADD the following person(s) to the PKU Press Mailing List and/or Directory:

Please REMOVE the following person(s) from the PKU Press and/or Directory:

Please click on Submit Comments below to send your information. Thank you for your time.