Sheep Home Study Course
Registration Form

This form can be filled out on-line and then be printed to mail or fax to the Penn State Cooperative Exension Office in Bedford County. To speak to someone about the course, contact Melanie Barkley at (814) 623-4800 or meh7@psu.edu.

First Name: Last Name:

Address:

City: State: Zip:

Telephone: County:

How would you like to take this course?

Internet/email - Cost is $40.00 Email address:

Postal Service - Cost is $75.00

Make check payable to: Extension Special

Credit card payment : Master Card Visa

Cardholder's Name:

Cardholder's Signature:

Charge card No. Expiration date (mo./yr.)

Print form and mail to:
Penn State Cooperative Extension
120 W. John Street, Suite 2
Bedford, PA 15522

Credit information can be mailed or faxed to 814.623.0318

Registration deadline for 2010 is January 25, 2010.

Copyright Information
This publication is available in alternative media on request.
Penn State is an Affirmative Action, Equal Opportunity University.
This site is a product of Penn State College of Agricultural Sciences.
Please e-mail us with your questions, comments or suggestions at BedfordExt@psu.edu.