California State University, Long Beach 2013 Volunteer Income Tax Assistance (VITA)

California State University, Long Beach
1250 Bellflower Boulevard
Long Beach, CA 90840
February 9, 2013
10:00 a.m - 3:00 p.m.

* Required fields: First Name, Last Name, Street, City, State, Zip/Postal Code, Email Address, and Phone Number

Time			Reservations	Available	Select
10:00 A.M.	-	11:00 A.M.	50	50	Full
11:00 A.M.	-	12:00 P.M.	22	50
12:00 P.M.	-	1:00 P.M.	21	50
1:00 P.M.	-	2:00 P.M.	14	50
2:00 P.M.	-	3:00 P.M.	16	50


* Title:
* First Name:		* Last Name:
* Mailing Address:
* Street:
* City:	* State: * Zip/Postal Code:

* E-mail Address:		* Phone:
Business/Organization:

Subject:	California State University, Long Beach 2013 Volunteer Income Tax Assistance (VITA)

Please fill out one form for each person attending.