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Queen Mary, University of London

Queen Mary Family Programme
Joining Form


Title:
Forename(s):
Surname:
Address:
email:
Job title:
Organisation (if applicable):
Are you a former student of Queen Mary, Westfield, Barts or The London? Yes: No :
If yes, please give details (College, subject and year or graduation:
Do you have any links with the College, i.e are you a former member of staff? Yes: No :
If yes, please give details:
Full name of student:
Their department of study:
Your relationship to student:

Please tick the publication(s) you would like to receive:

Queen Mary Annual Review
QM (twice yearly)
Advice and Information for Parents (once a year)
Queen Mary Events Leaflet (three times a year)
Barts and The London Chronicle (twice yearly)
QUAD (twice yearly)
QM Alumni e-Newsletter (once a term by email)

The information gathered on this form will be used for the purpose of providing services and information that may be of interest to you as a friend of the College, including the Queen Mary Family Programme, College events and appeals. If you do not wish to receive such correspondence from us, please tick here

 

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Queen Mary, University of London, Mile End Road, London E1 4NS, Tel: +44 (0)20 7882 5555