Horticultural Connections Form D

Fill out the electronic form below and click Submit, or click here to download a PDF of the form that can be printed on WHITE paper and mailed to: Mike Rethwisch 451 N. 5th Street, David City, NE 68632-1666.

Submit one form for each division as necessary. Must be submitted by September 15.

Note: there is a limit of 16 total teams for this event, with each team consisting of 4 members. Teams will represent states when possible. #2 teams will be utilized if 16 individual state entries are not received by the entry of September 15. Substitutions are allowed, but please contact prior to the convention.

First & last name, cell phone #, email addressStreet, City, State, Zip code

For more information, contact Mike Rethwisch
UNL- Extension
Butler Co.
451 N. 5th Street
David City, NE 68632-1666
(402) 367-7410
(402) 367-3329 (fax)

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