Institute of Urban Homesteading:: Class Registration Form

The Institute of Urban Homesteading
Online Registration Form

Today's Date
Name
Address
City, State, Zip
Home Phone
Work Phone
Mobile Phone
Email

Please indicate the best way to reach you:

Write the Name and Date of each class you are registering for and the amount you will pay for each class.
Please refer to the information on our sliding scale policy to determine what to pay.
Submit an additional registration form if registering for more than 3 classes at one time.

To have the form calculate your PayPal total, click in the Subtotal, Handling Fee and Total fields.
If paying by check, just skip the Handling Fee field and go directly to total.

Name of Class	Date	Amount
1.		$
2.		$
3.		$
Click in this field to calculate subtotal	subtotal	$
Click in this field if paying with PayPal	Handling fee	$
TOTAL AMOUNT DUE	Total	$

How will you be paying?
PayPal ~ If you check this option, please send your PayPal payment immeadiately after submitting this form. Send your tuition plus fees to iuh@sparkybeegirl.com
Personal Check ~ If you check this option please make your check to WFCA/IUH and send to 839 60th Street Oakland CA 94608
Gift Certificate ~ Please write number of certificate here:
Please include address you would like it sent to or other special instructions in the comment box below.

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