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Purchase Orders - NYPL/Schomburg Center NYCDOE Vendor ID 13188744001 3. Credit Cards - Pay online at www. BLACKHISTORY360 REGISTRATION FORM THE SCHOMBURG S SUMMER EDUCATION INSTITUTE 2016 To apply please complete this registration form and mail with payment to DEADLINE July 10 2016 The Schomburg Center/NYPL Attn Summer Education Institute 2015 515 Malcolm X Blvd. Card numbers will be blacked-out on this form after processing. m VISA m MASTERCARD m AMERICAN EXPRESS Card Number/Security Code...

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6. Navigate through each section of the form, and fill in the required information.
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10. Keep a copy of the submitted application for your records.
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