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You have requested to enroll in the following event:
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Title
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Houston Vanderbilt & You
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Date/Time
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Sunday, April 22, 2012
2:30 PM - 4:00 PM
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City/Metro Area
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Houston, TX
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Location
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Akin, Gump, Strauss, Hauer, & Feld, LLP
1111 Louisiana Street, 44th Floor
Houston TN 77002
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To enroll, please complete the form below. (*Required)
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| *Student's First Name |
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| Student's Middle Name |
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| *Student's Last Name |
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| Student's Preferred Name |
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| *Street 1 |
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| Street 2 |
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| *City |
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| State |
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| State/Province if OTHER |
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| Zip/Postal Code |
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| *Country |
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| *Student's Area Code |
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| *Student's Phone Number |
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Country Code
(if non-U.S. phone number) |
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| *Student's Email |
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| Gender |
Female
Male
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| Date of Birth |
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| Total number of people in your party |
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| *High School Name |
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| High School ETS Code |
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| High School City |
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| High School State |
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| *High School Graduation Year |
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| *First-Time Freshman or Transfer? |
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