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STUDENT RESERVATION CARD


Georgia Southwestern State University STORM Day

Please select a date (deadline is a week before the date)
Sign up fast... Each session is limited to 150 freshmen!

ADULT-LEARNER STUDENTS ONLY - Thursday, August 7, 2008 Evening Program
EVERYONE - Wednesday, August 13, 2008

Name:

GSW ID number:

Phone:

E-mail address:

Mailing Address:

City, State, Zip:

Special Needs:

T-Shirt Size:

Intended Academic Major at GSW:

My parents/family members will be attending:

YES, there will be family member(s) attending with me. I understand each family member will need to pay $20 to attend.

NO, they will not be attending with me.

Georgia Southwestern State University, 800 Wheatley Street, Americus, GA 31709