Membership Form
Please complete the form below.
*Indicates required field.

*Full Name Prefix
  Archaeological Project    
  Academic Information  
  *Academic Affiliation  
  *Street Address (Academic)  
  *City (Academic)
*State *Postal Code
  *Country (Academic)    
  Academic Phone    
  Contact Information  
  Cell Phone    
  *Email Address  
  Emergency Contact Information  
  Contact Name
Relationship If other, please specify:
  Work Phone Cell Phone  
  Health Insurance Information  
  *Health Insurance Company  
  Your Policy Number  
  Insurance Company Contact Number  
  Health Issues (allergies, medications)  
  Immunizations Recommended by the Study Center for those working in Greece


  Please note: Once submitted this form should be signed and dated upon your arrival in Crete.

Links Contact Information www.instappress.com Friends of the Study Center for East Crete