Discover UW-BC

UW Partners & Transfer Day

Wednesday, April 4, 2012; 9:30 a.m. - 12:30 p.m.

Thank you for your interest in attending the UW-Barron County UW Partners & Transfer Day event. Please fill out the following form to register.

Highlighted fields are required.

Date Attending:
Wednesday, April 4, 2012

Number Attending:

First Name:

Last Name:

Email:

Address 1:

Address 2:

City:

State:

ZIP:

Daytime Phone:

Evening Phone:

Date of Birth:

High School:

Graduation Year:

Academic Interest (if known):

Additional Comments or Questions:

Thank you!