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CORE Incentive Registration March 2010
2.
Registration
Thank you for your participation in the CORE survey. To register for your coupon, please provide the following information. The first 200 participants from each school to complete the registration will receive the coupon.
1.
Which of the following is your
primary
university or college?
(Required.)
University of Evansville
University of Southern Indiana
Ivy Tech Community College
2.
Student ID
3.
Name
(Required.)
First Name
Last Name
4.
Mailing Address (campus address preferred)
(Required.)
Street Address
City
State
Zip Code
5.
Email Address (campus address preferred)
(Required.)