Registration and checks due by October 3, 2008

                   Course Fee    $100.00      Exam?     Y     N

                   Checks payable to:  GCFMA-ESS

                   Text:  Living in the Environment – G. Tyler Miller, Jr.

                   Seventh Edition or later

                   A current label from “The National Gardener” must accompany this

                   form to   receive credit for this class.

                   Name:__________________________________________________

                   Address:____________________________________ ____________

                   E-Mail:_________________________________________________

                  Telephone:_________________Cell:_________________________

                   ______NGC Member / Life member #

                   ______Non-member

                   ______Refresher

                   ______Garden Club and State

                   Continental breakfast and buffet lunch

                   Available on site for $15.00 per day.