Spring 2013 New Student Orientation RSVP

Date: Sunday, January 6, 2013 from 2:00 PM - 5:00 PM

NUID Number:

e.g. 12345678

First Name:

Last Name:

Address:

City:

State, Zip:

Phone Number:

e.g. 555-555-5555

Email Address:

Intended Major:

Number Attending:

include yourself

Type the characters you see in the picture below:

security code