Registration Form - March 14, 2017 Philadelphia International Flower ...

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The PHS Philadelphia Flower Show on March 14, 2017 will showcase the extraordinary plants, creativity and talent of this region’s top horticulturists and designers along with award winning landscape and floral designers from the Netherlands. From towering windmills, wooden shoes and delectable cheeses, to the whimsical bicycles, canals and vibrant tulip fields of the iconic Dutch landscape, the 2017 Flower Show will share the diverse stories of horticulture, innovative eco-design, and modern urban greening and sustainability efforts of the Netherlands. Buses will load at 5:45am and leave from the MAC Fitness parking lot in the Kingston Plaza at 6:00am and returns at approximately 9:30pm. The New Paltz bus loads at 6:15am at the NYS Thruway Park and Ride located at Exit 18 in New Paltz. The bus ride is 3½-4 hours long with stops at a rest area coming and going. There is a bathroom on the bus. The cost is $80 per person which includes transportation and show admission. No refunds will be issued. Complete registration forms with payment must be postmarked no later than Monday, March 6, 2017 and can also be dropped off at the CCEUC Education Center located at 232 Plaza Road (Hannaford Plaza) in Kingston.

This event is a fund raiser for the Master Gardener Program of Ulster County Cornell Cooperative Extension provides equal program and employment opportunities. Please contact our office at 845-340-3990 if you have any special needs.

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Registration Form - March 14, 2017 Philadelphia International Flower Show - $80 per person Please enclose this completed form with your check or credit card information and mail or hand-deliver to the address below. Must be postmarked no later than Monday, March 6. Mail to: Cornell Cooperative Extension, Attn: Flower Show - 232 Plaza Road, Kingston, NY 12401 Questions? Call Dona at 845-340-3990 x335 or email [email protected]. Name______________________________________ Daytime Phone _________________Email____________________________ Address_____________________________________________________City____________________State_____Zip____________ Number of Persons ____ Names of Additional attendees: _______________________________________________________ Pick up in Kingston (Bus 1) ____ or New Paltz (Bus 2) ____ I understand that if I cannot make it on the day of the trip I should send someone in my place. No refunds will be issued. $80/person x ___ # people = $______ + Additional donation (optional) to Master Gardener program $______ = Total $ ______ Payment type: ___ Enclosed is a check total made payable to CCEUC -OR- Pay with credit card (fill in form below AND form above) Credit card payment for Philadelphia Flower Show 3/14/17: Name as it appears on card:________________________ Charge my: __MasterCard __Visa

Exp. Date (month/year)_______

Credit Card Number_________________________________________________________ Amt to Charge: $________ Card Holder Signature_________________________________________________________