Graduate & Professional Schools Fair Registration

Event Registration

Fee includes a continental breakfast and lunch.

Registration Fee	$175
Deadline to Register	Monday, September 8, 2008
Representatives Attending
Extra Table	Yes No

Contact Information

Fields with * are required.

School	*
Department
Representative's Full Name	*
Representative's Email	*
Alternative Email
Street Address	*
City	*
State	*
Zip	*
Phone	* (10 digits, 5621234567)
Fax	(10 digits, 5621234567)

Profile Information

School Website
Majors Recruited
Degree Types Offered
Would You Or Another Representative Be Interested In Conducting A Workshop During The Fair?	Yes No

Payment Information

Please make check payable to EES/Foundation (Federal ID: #95-6106694) and mail payment to:

CSU Long Beach
Attn: Claudia Lopez
EOP MS-1403
1250 Bellflower Blvd, LA 1-119
Long Beach, CA 90840

Graduate & Professional Schools Fair Registration

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