OMB 0518-0032-usna-1 (2/2006)
Privacy and Paperwork Reduction Act Statements

Program Registration

By mail: U.S. National Arboretum, 3501 New York Avenue, NE Washington, DC 20002
Attn: Event Registration, EVSU

Refund Policy: A full refund will be provided for cancellations received 10 days prior to program date and for events canceled by the U. S. National Arboretum. Pursuant to the Debt Collection Improvement Act of 1996 (DCIA), the U.S. National Arboretum is required to obtain a Tax Identification Number or Social Security Number when writing a check, including refund checks.

Payment: Separate check or money order for each program, payable to U.S. National Arboretum.

Name:

Street:

City:                                                                                                 State:                                    ZIP:

Phone: (w)                                                                                                 (h)

Email:

FONA member? Y or N       NBF member? Y or N

Program Title/Date

/

/

/

If registering more than one participant, please list and include contact information for each.

Name:

Street:

City:                                                                                                 State:                                    ZIP:

Phone: (w)                                                                                                 (h)

Email:

Name:

Street:

City:                                                                                                 State:                                    ZIP:

Phone: (w)                                                                                                 (h)

Email:

For more information regarding support organizations:

Friends of the National Arboretum
3501 New York Avenue, NE Washington, DC 20002
(202) 544-8733      
www.fona.org

National Bonsai Foundation
3501 New York Avenue, NE Washington, DC 20002
(202) 396-3510      
www.bonsai-nbf.org