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Senior Pictures - Contact Information
This information will only be used to ensure your photo and information appears accurately in the yearbook and you receive your proofs electronically and through the mail.
* Indicates required question
First Name
*
Your answer
Last Name
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Your answer
UIN (Please make sure you double check you have the entire number correctly)
*
Your answer
Contact phone (Your cell or your parents)
*
Your answer
What is your appointment date? (You must have a scheduled appointment before you can continue)
*
MM
/
DD
/
YYYY
What is your appointment time? (You must have a scheduled appointment before you can continue)
*
Time
:
AM
PM
NET ID/Email (DO NOT use gmail or non @illinois.edu)
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Your answer
Home/Permanent Address (Street Address)
*
Your answer
City, State & Zip Code
*
Your answer
Parent's Email Address
*
Your answer
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