YES!  We plan to participate!

Project due by October 10, 2006

Please return this form by October 1, 2005 to:
NER Unified Project - SPROUTS
Bonni L. Dineen, Chair

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Club, District, State Federation

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Name

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Address

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City/Town

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State                                                                  Zip

(      )___________________________________________________________
Phone

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Email (Please print clearly)

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Project Name

Those Participating: (check)
                        _____ Garden Club
                        _____ Youth Org.
                        _____ School/Youth

Group Project Type:
                        _____ Private Garden
                        _____ Public Garden
                        _____ Work Shop
                        _____ Conference
                        _____ Other