NEUROSCIENCE DEPARTMENT

EMAIL ADDRESS REQUEST FORM

 

If you are interested in an Internet address for the purpose of obtaining an E-Mail account send Sandy Ahonen (sahonen@plains.nodak.edu) an E-Mail and include the information below.  If you prefer to fax the information the phone number is: 701-293-4109 and snail mail is:  UND SOM&HS, Neuroscience Dept., Sandy Ahonen, 1919 Elm St. N., Fargo, ND  58102.
 
 
Name  
Appointment-Rank  
Social Security Number  
NAID Number  
Permanent Home Address  
 
Home Phone Number  
Business Name and Address  
 
 
 
 
 
 
Business Phone Number  
Type of Computer - PC or MAC