LONG ISLAND ROOM RESEARCH REGISTRATION FORM

In order to better assist you the Long Island Room's staff requires some basic information about you and your project prior to your visit.  Please complete the form below so that we can help you identify and use the collection materials most appropriate to your research.  Once staff is in receipt of this form, you will be contacted to set up an appointment.

Long Island Room Research Registration Form
First Name (*)

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Last Name (*)

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Home Address (*)

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Home Phone (*)

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Mobile Phone

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Email Address (*)

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Institution or Organization Affiliation

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Position or Academic Standing

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Brief Description of Your Research Project (*)

Mandatory field.
Materials or Collections of Interest (*)

Mandatory field.
(*)

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