Hitchcock Center for the Environment, Amherst, MA

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At this time we do not have on-line registration. You can register for a program by calling (413) 256-6006, or by printing this form and mailing it with your payment to: The Hitchcock Center for the Environment, 525 S. Pleasant St., Amherst, MA 01002. We accept Visa and MasterCard payments but require a $20 minimum charge for this service.

HITCHCOCK CENTER PROGRAM REGISTRATION FORM

Name:
________________________________________________________
Address:
________________________________________________________
City, State, Zip:
________________________________________________________
Day Phone:
________________________________________________________
E-mail address:
________________________________________________________

 Registrant's Name 
   Program
   
   
   
   

Please make check payable to: Hitchcock Center
                                             OR
Charge my (  ) VISA or (  ) MASTERCARD Card                    

Number_________________________________

Expiration  Date________      Signature_______________________________________

    The Hitchcock Center for the Environment, 525 South Pleasant Street, Amherst, MA 01002

Questions or comments?  E-mail us at hcenter@crocker.com