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West Chester University

Emil H. Messikomer Hall
100 W. Rosedale Avenue
West Chester, PA 19383
610-436-3411
ugadmiss@wcupa.edu

Registration Form

Selected Session Time: 1:00PM 02/26/2013
First Name:
Last Name:
Email:
Year of Graduation:
Phone Number:

- -

Address:
City:
State:
Zip:
High school you are attending:
Are you a transfer?:

Yes No

If yes, from which school?
Major of Interest
# of people in your party:
(including yourself) (# of openings still available: 24)

West Chester University of Pennsylvania
700 South High St, West Chester, PA 19383
610-436-1000
© West Chester University, 2013
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