SLOVAK STUDIES ASSOCIATION
Change of Address / Information Form
 
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1) fill in the blanks where a change has occurred in your address or other membership information (if name change, please provide former name; leave blanks empty where no change has occurred)
2) click the "Print" button on your web browser to print two (2) copies of your completed form (be sure your print-out contains the information that you entered in the blanks)
3) send one printed copy of your completed form to: Dr. John A. Berta, SSA Secretary; Social Sciences Division; Methodist College; 5400 Ramsey Street; Fayetteville, North Carolina 28304, USA
4) keep the second printed copy for your records.  

Preferred title:     None     Ms.     Mrs.     Mr.     Dr.     Fr.     Rev.
Name:
Affiliation:
Mailing
address:
Phone: Fax:     
E-mail:
www:
Areas of
interest
in Slovak
studies:
 
Print completed form!   



 
This page updated: 14 September 2005