The Institute of Urban Homesteading
Online Registration Form

Todays Date
Name
Address
City, State, Zip
Home Phone
Work Phone
Mobile Phone
Email

Please indicate the best way to reach you and if you can be contacted quickly by email:

 

List 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 thn 5 classes at one time.

Name of Class Date Amount
1. $
2 $
3. $
4. $
5. $
PayPal Fees (please add $1.50 for each class)   $
TOTAL AMOUNT DUE   $
 

Comments

After submitting your form please pay your tuition by sending money by PayPal to iuh@sparkybeegirl.com.