WIU School of Agriculture Open House
Date of Open House You Wish to Attend *
Name (first and last) *
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Address *
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City, State, Zip Code *
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Phone *
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Email *
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Current Grade *
Current School *
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Major Interest(s) *
Specialty Interest(s) *
Anticipated Entry to WIU *
Number Attending Open House *
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Number Attending Luncheon *
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Please list any special food requirements
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Would you be interested in a walking tour of campus after the open house? *
How did you hear about the WIU Ag Open House? *
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Name of alumnus or student who referred you
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