MAILING  LIST

Include me in your  Mailing List,  in order to receive information for  conferences, symposia,  seminars,  lectures  or  similar events.

Please  FILL IN  or  CHECK  the following and send it by FAX

  or  e-mail  to: 

Theophilos  Georgiadis,   Director of Franchising

Tel.  (-30) 2310 588244     Tel. +Fax:  2310 667795

E-mail:  info@dyslexiacenters.gr

72  Elpidos Street, Polichni

Thessaloniki, 565 33  Greece

Title: Prof. �   Dr. �    Mr �    Mrs �   Miss �    Profession: …...………….

Name:………………………..….              Surname: ……........................

Address:………......………………........................Post code:.............   

Country: ……………………….………Tel  (Mobile): .………….....

Tel(home):..............................................  Tel (work):....…...............…...

 Fax: …………………………….....            E-mail: …..………..………...

Parent  �     University  Teacher  �    Researcher �    Practitioner  �     Administrator �

Trainee �    Psychologist �  M.D. �    LD  Specilist �     Special  Educator  �

Teacher �     Linguist �     Student �      

Else (specify) ………………............……….…………….........................

You are interested in:     DYSLEXIA     �    LD  �    ADHD   � 

Reading  �       Spelling  �    math  �     Prognosis   �     Diagnosis �

Treatment �   psycho-social  �       legislation   �    

Else  (specify) …………...........................................................................

 Comments: …………………………………………………………………………..

 Date:  ……. /  …… /  2005