City (required)
State/Province
(required)
Country
(required (required)
Email (required)
WebSite (if any)
Type
of Association (required)
-Student
-Faculty
-Friend
PLEASE CHECK APPROPRIATE
If
student, please
indicate, graduated from:
-High School
-Bachillerato
-Commerce
-Elsewhere
PLEASE CHECK APPROPRIATE
Years
of association. Please
use only the format "1955-1965" for this entry since it is used to
generate the chronological listings. Enter zeros if unknown.
Comments to be posted
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