Fall 2011 Undergraduate Open House Registration

Yes! I want to attend the:	Open house on: Sunday, Oct. 23rd 11:00 a.m. - 2:30p.m.
First Name & Middle Initial:
Last Name:
Address:
City:
State:
Zip:
Phone:
*Email:
Number of People Attending: (include yourself)
Area of Interest:
I will be a:	Freshman Transfer
Name of the high school from which you graduated:
Year of Graduation from High School: