Number of Refreshers taken: 

Please check status below:

Refresher	Credit	Non-Credit
Applying for Masters		Reinstatement

National Gardener Subscription number:     Label stapled

Life Membership number: 
 
 

Course Choices (Check the Box)		Price	Amount You Pay
Exam Student		$65.00	$
Refreshing (LD Consultant)		$65.00	$
Non-Exam Student		$65.00	$
Single Day	Date attending	$35.00	$
			$
			$
	TOTAL AMOUNT ENCLOSED		$

 

(Price includes $5 for cost to mail study manual.  The cost of your meals is not included in the registration fee.)

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First name: MI: Last name: 

Mailing address:

Address1: 

Address2: 

City:   State:  Zip Code: 
Telephone: --
FAX: --    Email 
Club: 
District: 

Mail to:

Checks payable to:  LANDSCAPE DESIGN SCHOOL, VFGC

Thank You!!