HBCU for Life Expo - Student Registration Form
Complete this form if you are a student.

When? Saturday, April 13, 2019 @ 10am - 2pm
Where? Artists Collective, 1200 Albany Avenue, Hartford, CT 06112
Questions? Email hbcufairhartford@gmail.com
Email address *
STUDENT INFORMATION
Name (firstname lastname) *
Your answer
Address (street address) *
Your answer
City *
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State *
Your answer
Zip Cde *
Your answer
Phone (nnn-nnn-nnnn) *
Your answer
Email Address *
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