1. Name: *
2. Address: *
3. Participant in 2011 Fair: * YesNo

1. Name: *
2. Title: *
3. Email: *
4. Telephone of Contact: *

1. Name: *
2. Title at school (if applicable):
3. If Alum of Your School, Year Graduated:
4. If Alum of BHHS Year Graduated:
5. Email:
6. Telephone:
7. Attending Tour: * YesNo
8. Attending Dinner: * YesNo

1. Name:
2. Title at school (if applicable):
3. If Alum of Your School, Year Graduated:
4. If Alum of BHHS Year Graduated:
5. Email:
6. Telephone:
7. Attending Tour: YesNo
8. Attending Dinner: YesNo

1. Name:
2. Title at school (if applicable):
3. If Alum of Your School, Year Graduated:
4. If Alum of BHHS Year Graduated:
5. Email:
6. Telephone:
7. Attending Tour: YesNo
8. Attending Dinner: YesNo

If shipping materials in advance, please indicate below, and send for receipt no later than March 25, 2011 to: BHHS College Connections Fair c/o PTSA College Committee 333 S. McCarty Drive, Beverly Hills, CA 90212

1. Shipping materials in advance: YesNo