Drexel University Online Registration Form

Drexel University On-Campus Open House - July 29, 2009

Please join us at Drexel University's Main Campus for an open house to learn more about Drexel's online programs. At this open house, which will encompass both Drexel’s online and on-campus programs, you will learn about the Drexel advantage, participate in a panel discussion with current graduate students from several of our programs, and meet with representatives from the School of Education and Goodwin College. This event provides a great opportunity to see the Drexel campus and meet in person the people behind Drexel’s online programs.

View directions to the University City Main Campus or view a map.

Date:	Wednesday, July 29, 2009
Registration:	5:00 PM - 5:30 PM
Sessions:	5:30 PM - 7:30 PM
Location:	Anthony J. Drexel Picture Gallery Main Building, Third Floor 32nd and Chestnut Streets Philadelphia, PA 19104

Fill out the form below to register for the event. Hope to see you there!


	Name & Address:

	Title:
*	First Name:
*	Last Name:
*	Address 1:
	Address 2:
*	City:
*	State/Province/Region:
*	Zip/Postal Code:

	Phone & Email:

		I Agree *
		By checking this box and submitting this form, I hereby authorize Drexel and/or its authorized representatives to contact me by email to receive more information regarding Drexel University's programs. My consent is effective for 18 months from the submission of this form. NJ residents: By providing my primary phone number I am indicating the telephone number to which Drexel and/or its authorized representatives, may contact me by phone.

*	Primary Phone Number:		ext.
	Alternate Phone Number:		ext.
*	Preferred Contact Time:
*	Email:
*	Preferred Method of Contact:

	Program Details:

*	Program of Interest:
*	Term of Interest:

* - Required Field