Pre-Registration Form
Southwest Michigan Horticultural Days
February 5th & 6th, 2003
Print this form and Mail to:
Van Buren MSUE, Atten: Jerri Pursley
801 Hazen St., Suite A,
Paw Paw, MI 49079
PLEASE PRINT CLEARLY Deadline for Pre-Registration is January 30th, 2003
Name(s)_____________________________ _____________________________
_____________________________ _____________________________
Address_____________________________________________
City____________________________State______ Zip___________________
Phone #______________________________________________
Hort Days Pre-registration $15 per person
Total Amount Enclosed $____________
Make checks payable to:
Michigan Grape Society
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