Midwest School of Herbal Studies

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Message BoardHerbal Clinic

 

MWSHS Students,

Registration Is Now Open for...

 Our Last Wild-plant Walk of the Year

Scheduled for

Sunday, Sept. 11th, 2016

2:00 to 5:00 PM

Registration Fee Is $20.00

See Registration Form Below

 REGISTRATION FORM

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

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

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

Day & Hours: Sunday, Sept. 11th,  2016, 2:00 to 5:00 PM

Total Cost: $20.00

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

Make checks or M.O.'s 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 through our clinic 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