Registration Form for Organic Strawberry Workshop

Registration Form
Workshop
Date
Registration
Program
Organic Strawberry Workshop
Tuesday, January 21, 2014
08:00 AM
09:00 AM – 05:00 PM
Location
Agricultural Industrial Technology Center (AITC) Auditorium,
Tennessee State University,
3500 John A. Merritt Blvd, Nashville, TN 37209
First Name:__________________ Middle Name:______________ Last Name:____________________
Address: ____________________________________________________________________________
City: ___________________________ State: _________________ Zip: _________________________
County:_____________________________________________ Phone: _________________________
Email: ______________________________________________________________________________
Best time to contact: ___________________________________________________________________
● Registration and parking are free;
● Lunch and refreshment will be provided during the workshop;
● Please email the completed Registration Form back to Long Zhang: [email protected] .