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Organic Gardening Program Registration. Course applying to: Backyard Gardening. Therapeutic Gardening and Herbology. Classroom Location:. Penngrove Berkeley ...

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Organic Gardening Program RegistrationPage 1Bauman College: Healing from the Ground Up!(800) 9877530Organic Gardening Program RegistrationCourse applying to: Backyard GardeningTherapeutic Gardening and HerbologyClassroom Location:Penngrove BerkeleyPersonal Information:Full Name: _________________________________________ Todays date: _____________Address: __________________________________________ _________________________City: ________________________________________ State: _________ Zip: ____________Home phone: ___________________________ Work phone: _________________________Cell phone: _____________________ email: ______________________________________Educ ational ObjectivesWhich courses do you plan to complete? (Please circle):Backyard GardeningTherapeutic Gardening and HerbologyHow would you describe your gardening skills?Beginner Intermediate AdvancedWhich aspects of gardening most interest you? __________________________________________ __________________________________________ ____________________________Backyard Gardening: $400.00Therapeutic Gardening and Herbology: $1200.00Check enclosed: #______Please charge my credit card:Visa____ MC____ #________________________________ex. Date____/_____CVV _____Signature: ________________________________________ Date: ____________Fill out applicable payment method above. Visa and Master Card credit card payment accepted. CVV # : Thisnumber is printed on your MasterCard & Visa cards in the signature area of the back of the card. (it is the last 3 digitsAFTER the credit card number in the signature area of the card).Mail registration and payment to: Bauman College PO Box 940 Penngrove CA 94951Please submit registration at least two weeks prior to course start date.

Source: www.baumancollege.org

 

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