2020-2021 Collegiate Connection Form
Please complete this form no later than Sunday, October 11, 2020
College Student's Name *
Parent/Guardian's Name *
Name of College/University *
College Student's Mailing Address *
College Student's Mobile Number *
Students Email Address *
Parent/Guardian's Mobile Number *
Has the student ever shopped at any of the following stores online? Please check all that apply. *
Required
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