Veggie Grub Registration Form

Veggie Grub with Chef Rootsie

12- Week Cooking Series Registration Form
Full Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail
Are you :-

VegetarianVegan-CuriousVeganPescatarianOther
Select the Classes you are taking
Suggestions or topics you would like to be included in the cooking classes
Please refer a friend fo sign up. (Your registration fee will be waived)
Name of Friend referred
Did anyone refer you?
Name of Referer
Cooking Classes
prevnext( X )
Registration Fee (Required)$30.00

per class/paid in advance$60.00

Paid same day as class$75.00

For Entire Series paid in advance$700.00
The Veggie Grub Kitchen, 630 Flushing Ave, Brooklyn NY 11206; Phone(347)304-7442, Email:veggiegrub1@gmail.com, Blog: veggiegrub1.blogspot.com, FB:http//www.Facebook.com/veggiegrub; www.twitter:veggiegrub; www.instagram.veggiegrub

Veggie Grub with Chef Rootsie