Registration Form for Sweetheart Basket
Please fill out the form or contact Bereda Weddle (606)219-2936 to register. The cost for the class is $45 with multiple payment options, cash, check to Bereda Weddle, or Venmo (friends & family) February 19 , 2025 4:00 - 9:00 p.m. Pulaski County Extension Office
Student Name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Payment Forms Available are checks/cash/ Venmo(Family & Friends). Please comment which form of payment to use.
Submit
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