Registration form - Earth-KindŽ Rose Symposium Saturday, October 17, 2009 - 8:00 a.m. to 5:30 p.m. Complete this form and mail with your check. Register early. Space is limited. Name: ________________________________________ Address __________________________________________________________________________ Telephone # __________________________Email _________________________________ (You will receive confirmation by email. Because of expenses incurred by VCMGA, ticket costs are non-refundable.) Amount Enclosed $ _________ ($65.00 if postmarked by Oct. 9, or hand delivered to the EXtension Office, 442 Foster Field Drive, Victoria Regional Airpot, by noon on Monday, Oct 12. Checks payable to VCMGA; Mail checks to VCMGA, P. O. Box 1723, Victoria, TX 77902. Individuals with disabilities who require an auxiliary aid, service or accommodations in order to participate in these meetings are encouraged to contact the County Extension Office prior to Oct. 9, at (361) 575-4581 to determine how reasonable accommodations can be made. ---------------------------------------------------------------------------------------------------------------------------- |
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