2002 Postal Mailing List Form
Please print out, complete and mail this form to receive notices about
educational programs and activities from Cooperative Extension in
New Castle County.
Name_________________________________________________________________
Address______________________________________________________________
City________________________________ State______ ZIP + 4 ____________
Daytime phone_____________________ Evening phone_____________________
___ Send information to my email address: ___________________________
Race: ___ Asian or Pacific Islander ___Black ___ Hispanic
___ Native American ___ White
Gender: ___Female ___ Male
Your Signature _______________________________ Today’s Date _________
Please check program area(s) of interest to you and your family:
___ Home Lawns, Gardens & Pests ___ Bicycle safety
___ Master Gardener training ___ Car seat safety
___ Garden Check newsletter ___ Pedestrian safety
subscription information ___ SAFE KIDS Coalition
___ 4-H & Youth Development ___ Child Passenger Safety
___ Family & Consumer issues Technician/Instructor training
___ Financial Management newsletter
subscription information
___ Parenting newsletter
subscription information
___ Family & Community
Education clubs
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COMMERCIAL AGRICULTURE ONLY:
___ Ag Science Teacher
___ Ag Supplier for > ___ Dairy
___ Ag Consultant for > ___ Horses
___ Ag Producer of > ___ Other Livestock _____________
___ Corn Grain & Silage
___ Small Grains
___ Soybeans
___ Hay & Pasture
___ Nursery & Greenhouse
___ Commercial Tree Fruit
___ Commercial Small Fruit
___ Commercial Vegetables
___ Christmas trees
___ Other crops _______________
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Mail to: NCC Cooperative Extension
910 S. Chapel St.
Newark DE 19716-1303
Copyright © 1997-2002 NCC Cooperative Extension. Last revised October 23, 2001 .
It is the policy of the Delaware Cooperative Extension System that no person shall be subjected to discrimination on the grounds of race, color, sex, disability, age, or national origin.