Career Conference Registration

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Major Interest

Career Conference Registration

Student's Name: *

Student's Email Address: *

Street Address:

City:

State:

Zip Code:

Phone:

Academic Major(s):

Academic Minor(s):

Registration Fee: (please check one):

$270 Principia Student Summer Registration Rate (expires 8/15/11)

$280 Principia Student Fall Registration Rate (expires 11/15/11)

$295 Principia Student Regular Rate

$310 Alumni/Non-Principia Rate

PLEASE FILL THE APPROPRIATE OPTION

Current Principia College student

Mailbox #:

Phone Ext:

Expected year of graduation:

2011

2012

2013

Other (Enter year below)

Other: Graduation Year:

My Principia Account: #P01-

Enter your Principia Student ID number.

Current student at (college/university)

Check payment option is available, and will be displayed after you click the "Submit" button below.

Name of college or university:

Expected year of graduation:

2011

2012

2013

Other (Enter year below)

Other: Graduation Year:

Principia alumni

Check payment option is available, and will be displayed after you click the "Submit" button below.

Principia alumni, class of:

2005

2006

2007

2008

2009

2010

Other (Enter year below)

Other: Graduation Year:

Other college/university alumni

Check payment option is available, and will be displayed after you click the "Submit" button below.

Name of college or university:

Class of:

2005

2006

2007

2008

2009

2010

Other (Enter year below)

Other: Graduation Year:

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