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Dallas Arboretum Plant Trials

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Pre-registration Form

This is not a secure site.

3 Choices

Please fill out this form and submit it (a copy will be emailed to me.)
Call my assistant Olga Estrada at 214-515-6585 and relay the info to her
Print and fax or mail it with payment to:

Dallas Arboretum

8617 Garland

Dallas, TX 75218

214-515-6580 phone

214-320-1095 fax

jturner@dallasarboretum.org

oestrada@dallasarboretum.org

Please provide the following contact information:

First Name
Last Name
Title
Organization
Billing Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

List the names of any others from your company you are registering for. Pre-registration is $15.00 per attendee All pre-registration payments are due by June 18th. All others will have to register on-site for $25.00.

How many are you registering for?

I will be paying by?

If you would prefer to give your Credit Card information over the phone please call Olga Estrada @ 214-515-6584. Please make sure the address above is for the billing of the credit card.

Credit Card Number

Expiration Date

Security Code CC Card Code

	Would you like a confirmation receipt of your payment? Yes No
	Select any of the following options that apply: Allied Architect/Landscaper Breeder Broker Grower Producer Retail Nursery Wholesale Nursery Supplier Other (I apologize, but not open to Master Gardeners, Industry only)
	If you would like to present during our open forum or have a trade show table please check the appropriate box. Present in Open Forum Reserve Table for Tradeshow

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webmaster: jturner@dallasarboretum 214-515-6580

Copyright: Jimmy L. Turner, Dallas Arboretum & Botanical Society, 2005
Information or photos may not be reprinted without permission.

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