Registration Form
Austin School of Herbal Studies

Space is limited, so please register early! Print the form, complete it, and make payable to:

EZ Herbs
Mail with your payment to:

8803 Bear Creek Drive      Austin, Tx 78737
*Note :Pay Pal can be used make payment for a class.

PLEASE PRINT CLEARLY

Name

Address

State/Zip

Phone #

email

Referred by:

Date

Class Title)

Fee

total