Department Name
department website
Building name, room number - Mail Code (note mail code is 2 words)
Southern Illinois University Carbondale
your 911 Street Address (required) (Look it up here)
Carbondale, Illinois 62901 (note plus-4 zip no longer used)
department phone and fax
www.siuc.edu (required)

Your Name
your job title
your email
Same information as letterhead