Contact Us Fax Form

  Tel: (718) 997-4520  |   Fax: (718) 997-4529  |  E-mail: byzgreek@qc.edu

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______