| The 2008 Basic Course Registration Form |
*This form may print out on two pages. Be sure to complete and mail in ALL PAGES of the form.
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Yes! I want to enroll in the |
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| I need the following for class: | Cost |
| [ ] | Tuition | $285 |
| [ ] | Handbook and instructor materials (required) | $60 |
| [ ] | Late Fee (required if enrolling after January 18th) |
$40 |
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Total Enclosed: |
___________ |
| PLEASE PRINT! |
| ___________________________________________________________ 1st choice - Site Location |
| ___________________________________________________________ 2nd choice - Site Location |
| ___________________________________________________________ Name |
| ___________________________________________________________ Address |
| ___________________________________________________________ |
| ___________________________________________________________ Daytime Phone |
| ___________________________________________________________ E-mail (used only for course & program info) |
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| Required By signing below I acknowledge that I understand the need to complete a volunteer internship to receive my certificate and I understand the refund policy stated in brochure. |
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| ____________________________________________ Signature |
____________ Date |
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| Please complete this form and return it along with your check made out to: UVM Vermont Master Gardener. Note: You will NOT be registered for this class until we receive payment in full. MasterCard, Visa & American Express accepted, please call 656-9562 for details. | |
| Vermont Master Gardener University of Vermont 105 Carrigan Drive, Hills Building Burlington, VT 05405-0082 |
Contact Vermont Master Gardener at master.gardener@uvm.edu.
Contact webmaster sarah.kingsley@uvm.edu with questions or comments about this web site.

Vermont Master Gardener is an integral part of the University of Vermont Extension Home Horticulture Program
Issued in furtherance of Cooperative Extension work, Acts of May 8 and June 30, 1914, in cooperation with the United States Department of Agriculture. University of Vermont Extension, Burlington, Vermont.University of Vermont Extension and U.S. Department of Agriculture, cooperating, offer education and employment to everyone without regard to race, color, national origin, sex, religion, age, disability, political beliefs, or marital or familial status.