Warning: The following form usually works with Netscape 3+ and MSIE. If something goes wrong, please email your information to hellas@ucla.edu.

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Are you an HASO member? Yes No Not Sure

Your Name:

Your Year of Birth:

Sex:
-- Select -- Male Female
Your Email:

Your Mailing Address:


City:

State:

Zip Code:

Country:

Your Phone Number:

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The event you enjoyed the most was:
Select event Greek Night at Madison's in Westwood Greek Night at the Boathouse in Santa Monica Greek Night II at the Boathouse Bake Sales Dinners out Lysistrata Philhellenic Social Weekly dance practice Most of the above None of the above

Where did you hear about this event?
Select Akou Newsletter Other HASO Member Our Website

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Select Your Favorite Greek Singer/Group Notis Sfakianakis Kaiti Garbi Antique Yiannis Ploutarxos Anna Vissi Despoina Vandi Kostas Kafasis Kostas Monaxos Paschalis Terzis Ksylina Spathia Vasillis Papakostantinou Mple Pyx-Lax Giorgos Ntalaras Giorgos Mazonakis Giorgos Aklaios Giorgos Margaritis Stamatis Gonidis Effi Sarri Antzy Samiou

What would you like to experience at our next greek night?

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Rate the following:

	Fantastic	Good	Fair	Poor
Events
Board Members
Webpage

What is your favorite radio station:

What is your favorite magazine / Newspaper:

What is your favorite drink:

Optional

How much do you spend on the following per week:

	$0-10	$10-20	$20-30	$40-100
Clubbing
CDs
Cinema
Video Rental
Food
Restaurants
Clothing
Software

Any general questions or comments?

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