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Open House

 

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Register for Open House Chiro

 

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University of Bridgeport
Division of Health Sciences

Fall Open House
October 25, 2003, 11:00 am
UB's Health Science Center
60 Lafayette Street
Bridgeport Campus.

Please complete the following form to register for our Fall Open House. All questions marked with an asterisk (*) are required for successful registration.

Call the College of Chiropractic at 1-888-UB-CHIRO, or
Call the College of Naturopathic Medicine at 1-800-EXCEL-UB Ext. 4108, or Fax your name, phone, address and college of interest to:
203-576-4941

First Name*:
Last Name*:
Email*:
Birthday:   Month   Day   Year
Address*:
City*:
State*:   Zip Code*:
Phone:
Start Term:
Major:
*Spring Open House:   
*Please indicate the total number of people expected to attend our Open House:  


Fall Open House
October 25th, 2003
11:00 am
UB's Health Science Center
60 Lafayette Street
Bridgeport Campus.