If you have any questions, feel free to contact a committee member at eib@ec.uiuc.edu.

The registration fee is set at $20 for students, $10 for a guest, and $10 for a parking pass. Payment will be collected upon arrival, cash only please.

By filling out this information you will be reserving a space for the Spring 2010 Engineering Days on Friday, February 12 and Friday, February 26. Since space is limited please do not sign up unless you definitely plan to attend. Registration will close when the program fills, please register early. 

Please list a valid email address and be sure to check it as we will be sending detailed directions to you via email.  If you do not have a valid email address, leave this field blank and put a phone number in the comments box where we can contact you regarding your visit.  Thank you!

If you have any questions, feel free to contact a committee member at eib@ec.uiuc.edu.


Name:
Email:
Cell Phone:

Address
Street:
City:
State:
Zip:

High School Name:

Birthday: (MM/DD/YYYY)
Major of Interest
Grade:

Which session do you plan to attend?

 January 29, 2010

Will you be bringing an adult guest?

 Yes - how many?
 No

Will you need a parking pass?

 Yes
 No

T-Shirt Size

 S     M   L   XL   XXL

Additional Comments or Questions: (optional)




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103C Engineering Hall
1308 W. Green St
Urbana, Illinois 61801
Tel: 217-244-3828
Fax: 217-244-4974
eib@ec.illinois.edu