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Wilfrid Laurier University  
 
Canadian Excellence

 

Brantford Campus Open House Registration

Optional Bullet Image Please fill out this form to register for Laurier Brantford's Open House
on Wednesday, March 12, 2014
Optional Bullet Image Parking information and directions to campus
Optional Bullet Image All fields denoted by an Required Bullet Image are required
   
First name Required Bullet Image
Last name Required Bullet Image
Hometown Required Bullet Image
School currently attending Required Bullet Image
E-mail Required Bullet Image
Program of interest Required Bullet Image
How many people will be attending? Required Bullet Image
How did you hear about our Open House? Required Bullet Image
Optional Bullet Image if "Other"