|
You have requested to enroll in the following event:
|
|
Title
|
Information Session and Walking Tour
|
|
Date/Time
|
Friday, February 05, 2010
10:00 AM - 12:30 PM
|
|
City/Metro Area
|
University of Michigan Campus
|
|
Location
|
1220 Student Activities Building
515 E. Jefferson St
Ann Arbor MI 48109-1316
|
|
|
To enroll, please complete the form below. (*Required)
|
| I am a |
|
| How many people will be in your group (including yourself)? |
|
| *First Name |
|
| *Last Name |
|
| *Gender |
Female
Male
|
| *Address Line 1 |
|
| Address Line 2 |
|
| *City |
|
| State |
|
| *Zip/Postal Code |
|
| Country |
|
| *Date of Birth |
|
| *Email where your confirmation will be sent |
|
| *Year of High School Graduation |
|
|
|
