REGISTER TO VISIT LYCOMING COLLEGE
I would like to register for the Preview Day on
Friday, July 25th, 2008
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone Number
Year of Graduation:
High School:
E-mail:
Academic interest:
Extracurricular Interests:
Would you like to attend a group presentation with a professor in your area of interest?
Yes
No
Number in party including yourself:
To ensure the security of this form, please type the word "lycoming" into the text box:
