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Course Agreement and Material Order Form
Fill this form out after your phone call with Apple Seeds to receive your materials and to agree to stipend requirements.
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* Indicates required question
Email
*
Your email
Number of participants
*
Your answer
Participant ages
*
Your answer
Instructor name
*
Your answer
Organization name
*
Your answer
Street Address (where you will be meeting)
*
Your answer
City and State
*
Your answer
Zip Code
*
Your answer
Course start date
*
MM
/
DD
/
YYYY
Course end date
*
MM
/
DD
/
YYYY
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