PROGRAM REGISTRATION FORM

Please PRINT, complete, and return this form with check or payment information to:
Global Source Education: PO Box 11316, Bainbridge Island, WA 98110
or FAX to 206-780-5797

Space is limited so register early

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Tuition	2008 SUMMER PROGRAMS
$195 for Members $215 for Non-members	The Sustainable Schools Retreat, July 15-17
$245 for Members $265 for Non-members	Food, Farming, Culture & Education Institute, July 28-31
$35	Global Source Membership
Date of Registration
Name (First – Last]
Mailing Address
Day Phone
E-Mail
School/Organization
Grade/Subject Area
Notes	Clock Hours are available at additional cost

You can register by phone during office hours at 206-780-5797
Please make checks payable to: Global Source Education
Credit Cards (Visa or MasterCard) accepted
Credit Card Information    MasterCard     Visa    Exp Date ____/____
Credit Card Number    __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __

Signature (required to register) ____________________________________