PRE-REGISTRATION FORM
Southwest Michigan Horticultural Days
February 7th & 8th, 2001
$15.00 per person
NOTE: Deadline for pre-registration is January 24, 2001 (must be
postmarked 01/24)
Registrations after January 24th, and at the door will be $20.00
PLEASE PRINT
Name(s)______________________________________________
Address_______________________________________________
City___________________________ST______Zip_____________
Phone#_______________________________
Total Amount Enclosed $__________________
Make checks payable to: Michigan Grape Society
Print & Mail to: Van Buren MSUE, Atten: Jerri Pursley
801
Hazen Street, Sutie A
Paw
Paw, MI 49079