Midwest School of Herbal Studies

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Message BoardHerbal Clinic

 

 

"Wild-plant Walk Season Is Here!"

Yes, Students, and Our First Wild-plant Walk

Is Scheduled for Tues Eve., June 13th, 2017!

Watch Your Email Inbox for Details of This & Future Walks!

A generic registration form appears below, but specific reg. forms will be appended to your emails.

 

REGISTRATION FORM

Student Name:..............................................................................  Student I.D. #.............

Email Address ...................................................................................................................

Phone Number ...................................................................................................................

Herbwalk Registration Fee: $20.00

Payment Enclosed:  (Check)...... (M.O.) ..... (C.C).....

Make Checks Payable to:  Midwest School of Herbal Studies

             If paying by Credit Card, you must supply all of the following information in order for us to process.

(Note: Will clear as “Midwest Herbs & Healing.”)

Credit Card Number.......................................................................................................................Expir. Date.............

CDC Code (last group of 3- or 4 digits in series of numbers on reverse of card near signature strip) ........................................

Digits of Mailing Address to which Credit Card Bill goes to:.................................................................................

Zip Code of same address...........................  Telephone Number   (          )..............................................................

Fax this form to the School at 651-484-0426 or snail-mail it to us at P O Box 120096, New Brighton MN 55112