Landscape Design Study Course III, Series XIX, September 20-22, 2004
Registration Form

Please make checks payable to LANDSCAPE DESIGN and mail to:

Mrs. Nell Zeigler, Chairman
Landscape Design Study Courses
3190 C.R. 267
Oglesby, TX 76561-1500
(254) 865-2904
cnzeigler@aol.com

No refunds will be made after September 1, 2004


Call Extension Horticulture (979) 845-7344 (Cynthia Mueller) (979)845-7342 (Lenora Sebesta), Texas A&M University, or Mrs. Nell Zeigler, Chairman, at (254) 865-2904 if you have any questions.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - DETACH HERE - - - - - - - - - - - - - - -

Registration Form (please print)

Name ________________________________ First name for name tag ____________________

Address ___________________________________ City ____________________ State ____ Zip ____

Telephone (   )_________ E-mail ______________________

Fill In All That Apply:

Garden Club: Credit ___ Refresher ___ Audit ____ (Check one)

Member of ____________________ garden club that is a member of Texas Garden Clubs, Inc. (If refreshing, bring mailing label from current National Gardener or other proof of subscription). Also, if refreshing give date of last certification ____________.

Master Gardener: List County __________________ Will you be taking the exam for credit? ____

Texas Certified Nursery Professional: ____ Audit ____

Other: (Please state interest/occupation) ____________________

Make check in the amount of $75 for the course, plux two box lunches. For the textbook Stewards of the Land, please add an additional $40.00.

RETURN TO STUDY COURSE III, SERIES XIX