Dragonfly Botanicals Workshop Registration & General Information
 

NAME ____________________________________________________________________

STREET ___________________________________________________________________

CITY/TOWN __________________________ STATE_____________ ZIP______________________

PHONE (land & cell) ________________________________________________________

EMAIL _______________________________________

Emergency Contact NAME: _________________________________ PHONE _________________

Please list the class you wish to register for, and the class fee below. Thank You.

The Herbal Garden Path Apprenticeship Course- Level 1
 *Please Note: If the student class minimum is not met your deposit/payment will be refunded.*

 Please Check One:

________ Paid in Full $1350.00 nontransferable/nonrefundable payment for The Herb Garden Path Apprenticeship Course

________ Received $675.00 nontransferable/nonrefundable deposit for The Herb Garden Path Apprenticeship Course. $675.00 remaining course cost to be paid in full prior to start of first class module of the course.

*Your student info package will be sent out once your deposit/total payment is received & cleared.

Please Note: Make all checks/money orders payable to Dragonfly Botanicals.
All deposits are non-refundable and non-transferable. There will be a $33.00 fee for bounced checks.

Mail form to: Dragonfly Botanicals, PO Box 102, Sanbornton, NH 03269