Georgics Local Registration

Workshop Selection

Which workshop are you registering for?(Required)
Price: $95.00

Contact Information

Primary Contact Name(Required)
Primary Contact Email(Required)
Multiple Registrant Contact Information
Please enter the Name, Phone Number, and Email Address for each additional registrant if applicable. Click the Plus icon on the right to add up to 10 rows.
Name
Phone Number
Email
 

Billing

Credit Card(Required)
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date
 
Billing Address(Required)
This field is for validation purposes and should be left unchanged.