Coastal Project Application
Name
*
First Name
Last Name
Gender
*
Male
Female
Campus
*
Alabama
Ole Miss
Mississippi State
What year are you currently?
*
Freshman
Sophomore
Junior
Senior
Grad Student
Incoming Freshman
Phone Number
*
-
Area Code
Phone Number
Your Email
*
example@example.com
Parents Email
*
example@example.com
Are you a member of any campus organizations?
*
Yes
No
If so, which ones?
*
Why do you want to go to Coastal Project?
*
T-Shirt Size
*
S
M
L
XL
2XL
3XL
Professional Photo
*
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Coastal Project Deposit
Includes $6.30 processing fee for Coastal Project
$
206.30
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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