Institute of Urban Homesteading:: Class Registration Form

The Institute of Urban Homesteading
Online Registration Form

Today’s Date
Name
Address
City, State, Zip
Best Phone
Alternate Phone
Email

Enter 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 you are registering for more than three classes at one time.

You may register two people for the same class on one form. Simply enter the class and payment amount twice and include the name of the second person in the comment box below.

Name of Class	Date	Amount
1.		$
2.		$
3.		$
	subtotal	$
	handling fee (PayPal or credit card orders only)	$
	total	$

How will you be paying?
Online Payment	PayPal or Credit Card. When you click “Register” you will be redirected to a page where you may either login and pay with PayPal or use a credit/debit card to makea a one-time payment without a PayPal account.
Personal Check	If you check this option please make out your check to IUH and send it to 839 60^th Street, Oakland CA 94608.
Phone Payment	Credit/Debit Card Use the comment box below to let us know when and where we may call you to complete the transaction.
Gift Certificate	Please enter the number of the certificate here:

	Comments:

I have read and assent to the IUH Cancellation Policy and Registration Policies .

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