Honors Reception Registration Form

To R.S.V.P. to the March 21, 2012 Stevenson University Honors Program Reception, please provide the following information. This event will be held from 6:30 - 8:30 p.m. The deadline for registering is Friday, March 9th.

First Name:
Last Name:
Email Address:
(a confirmation email will be sent to this address.)
Phone Number:
Number attending:
Please confirm your intended major:

Would you like to participate in our Overnight Visit Program on the night of the Honors Reception?
Please note, reservations will be accepted on a space-available basis.
Yes      No

  

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