Symposium Registration Fee: $10 Box Lunch Fee: $8

See registration form for lunch choices or you may bring your own brown bag lunch.

Registration deadline is March 8, 2010.

Confirmation will be sent upon receipt of completed registration form and payment.   Sorry, no refunds for cancellations received after March 8, 2010.

Questions, please call Ellen Buchanan 804-541-8201    or   the Prince George Extension Office 804-733-2686.

Registration/seating is limited.

SYMPOSIUM REGISTRATION   (Please Print)

Name ___________________________________

Address ________________________________

City/State __________________Zip _______

Phone __________________________________

Email __________________________________

BOX LUNCH ORDER

(Please select 1 sandwich, 1 side, and 1 dessert — assorted beverages will be provided)

Sandwich Choices

Chicken Salad on Croissant_____

Tuna on Rye_____

Turkey and Swiss Hoagie_____

Veggie Pita (cucumber, carrot, lettuce,

spinach with dill cream cheese) _____

Side Choices

Marinated Green Beans _____ Chips _____

Dessert Choices

Carrot Cake _____ Brownie _____

Need Lodging Information?

Yes ______ No ______

Make checks payable to “Good Gardening Symposium” and mail with this form to

4325 Fox Hill Place, Prince George, VA 23875.