Georgia State University
Friday, November 20, 2009 



You have requested to enroll in the following event:
Title Executive MBA Information Session
Date/Time Friday, January 29, 2010
12:00 PM - 1:00 PM
City/Metro Area Buckhead
Location Tower Place 200
5th Floor, 3348 Peachtree Road
Atlanta GA 30326
To enroll, please complete the form below. (*Required)
*First Name
Middle Name
*Last Name
*Street 1
Street 2
*City
State
State/Province if OTHER
*Zip/Postal Code
*Phone Number
(Do not include dashes or spaces)
*Email
What is your dietary preference?
*How did you hear about our Open House?
How did you hear about our Open House? If OTHER
*Company Name
*Title
Are you bringing a guest?


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