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Registration Form

 
Directions:
  fields with * must be completed for online submission
1. Fill-out form     2. Print a copy to send with payment. Thanks!

Course Title * :
Names(s) * :
Organization:
Address:
Phone:
E-Mail * :
Dietary Needs?
Carpooling encouraged: Can you offer a ride?    Would you like a ride?
Payment Enclosed:
Yes! I want to participate in this groudbreaking, precedent setting Ecovillage Design event.
 
$50 deposit short course fee
early bird discounted fee extended course fee
full course fee Total:
Suggestions? Questions?
  Remember to print a copy and mail it to the address below. Please make checks payable to Village Design Institute.

Village Design Institute
PO Box 85884
Seattle, WA 98145, USA

 
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