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Contact Us Forms

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CONTACT US Fax Form

 

If you want to be included in the Center’s mailing and Email list and receive more information about the Center and its activities please provide the following information:

 

NAME: ________________________(Last)         __________________(First)

 

HOME ADDRESS: ________________________________(Street)

        

                    ________________________________(City)    __________(ZIP)

 

BUSINESS: ________________(Company, organization)

 

BUSINESS ADDRESS:_______________________________________(Street)

    

                  _________________________________(City)  __________ (ZIP)

 

 

 

TEL: (Work)____________            Cell:___________     (Home)__________

 

 

Email: _________________________

 

 

PROFESSION: __________________

 

PLACE OF BIRTH: US____    Greece_____  Cyprus____ Other:____________(Specify)

 

 

Are you an ALUMNI of Queens College: Yes______    No____

 

Have you taken Courses at: Center for Byzantine and Modern Greek Studies:

 

Yes____     No:____

 

Have graduated from another CUNY College (Hunter, City College etc)?

 

Do you speak Greek: Well_____     So and So____    Little____  Do not Speak_____


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Your Profession:
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Graduated From CUNY?:
Do You Speak Greek:
Queens College Alumni?:
Taken Courses At The Center?:

The Center For Byzantine And Modern Greek Studies


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Center For Byzantine & Modern Greek Studies Telephone 718.997.4520

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