Coronado Place: Campus DJ Wristband Signup

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WHILE SUPPLIES LAST! Fill out this form to reserve your spot & your wristband for the event on APRIL 21

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First Name *

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Last Name *

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Email *

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Cell Phone *

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Are you a current Coronado Place resident? *

YES

NO

Were you referred by a friend? *

YES

NO

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My friend's name is:

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I am a current student at SLU *

YES

NO

Other:

My grad year is: *

2016

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Other:

How did you hear about this event?

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