Johnson State College: Out-of-State Reception Registration

Register for An Out-of-State Reception

Wednesday, April 2, 2008 in Rocky Hill, CT

Thursday, April 3, 2008 in Peabody, Mass.

Complete and submit this form.

Select which date you wish to attend:
April 2, 2008 April 3, 2008
*Name:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
*E-mail:
High School Name/Graduation Date:
College transferring from (if applicable):
Intended major or areas of academic interest:

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