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Program Registration
Form
[updated April 28, 2008] |
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| CLICK
BROWSER BACK BUTTON TO RETURN TO SITE --OR- Global Source
Home |
Please
print, complete and return this form with payment 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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 2008 The Sustainable Schools Project |
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2008 Food, Farming, Culture & Education |
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| Date
of Registration: |
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| Name
(First, Last): |
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Mailing
Address: |
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| Day
Phone: |
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E-Mail:
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| School/Organization: |
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Grade(s) / Subject Area: |
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| Notes: |
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You can also register by phone during office hours at 206-780-5797. Please make checks
payable to: Global Source Education. Credit card (Visa or Mastercard)
accepted. Mail: Global Source Education, PO Box 11316, Bainbridge Island, WA 98110;
Fax: 206-780-5797
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| Credit
Card Information: |
Mastercard |
Visa |
Exp.
Date: ___ /___ |
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| Credit
Card Number: |
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___ ___ ___ / ___ ___ ___ ___ / ___ ___ ___ ___ / ___ ___ ___ ___
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| Signature
(required to register): |
_______________________________________________________________ |
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