Now you can donate to the HUCand/or pay your ANNUAL DUES using PayPal or Credit Card |
Application/HUC dues
for the |
DATE ____________ NAME _____________________________________________________________ (Title) (Surname) (First) (Middle) ADDRESS _____________________________________________________ CITY __________________ STATE ______ ZIP CODE __________ HOME PHONE ______________ BUSINESS PHONE _______________ SPOUSE'S NAME ___________________________________ E-mail: _________________________________________ EDUCATION HIGHEST DEGREE __________________ DATE AWARDED _______ UNIVERSITY ____________________________________________ NAME UNDER WHICH DEGREE WAS CONFERRED __________________ COMMENTS: _____________________________________________________ _____________________________________________________ SIGNATURE OF APPLICANT ___________________________________ Please print, fill out completely, and return with $50 Application Fee/First Year Dues Mail application to: The Hellenic University Club of Southern California PO Box 45581 Los Angeles, CA 90045-0581 Application Fee/First Year Dues can also be paid via PayPal. If paid via PayPal you can e-mail the data above to: hucorg [AT] gmail.com. |