The North Carolina Board of Architecture and Registered Interior ...

The North Carolina Board of Architecture and Registered Interior Designers 434 Fayetteville Street Suite 2005 Raleigh, NC 27601 ncba@ 984-328-1161 Address Change Form for Architecture or Registered Interior Design firms

Name:___________________________________________________________________ Select One: ___Architecture Firm License Number ___________ ___Registered Interior Design Firm Registration Number _________________ Date change is effective: __________________________

NEW ADDRESS: _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________

Phone Number: ___________________________________________ Alternate Phone Number: ____________________________________ Email: __________________________________________________________ Most correspondence from the Board is sent via email. Please print your email address clearly.

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