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WJU Admissions Visit Day
Registration Form

Please reserve my spot for one of the following Visit Days: *required
 Wednesday, November 11, 2009
 Friday, December 4, 2009
 I am unable to attend.


I'm unable to attend any of the Visit Days, but please have a counselor contact me about the benefits and opportunities available at WJU. They may contact me via:
 Phone   E-mail

Total number attending (including yourself):


Name:
Address:
City:      State: Zip:
Phone:
E-mail:
High School:
Major: Undecided:   
Graduation Year:
NCAA Division II
Sport of Interest:

Bring a friend!
Friend Information: (Please complete as much information as you know.)
Name:
Address:
City:      State: Zip:
Phone:
E-mail:
High School:
Major: Undecided:   
Graduation Year:
NCAA Division II
Sport of Interest:



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