STARS / NCGR Certification Test Registration Form

Friday October 7th, 2005
12:00 - 5:00 pm
Merriam Park Library ~ 1831 Marshall Avenue, St Paul MN 55104

***The deadline to register for testing is Tuesday Sept 20th***

Name ____________________________________________

Phone Number _____________________

E-mail address ____________________________________

I would like to register for _____ Level I Testing  _____ Level II Testing

Level I Testing Cost

$45.00 for current STARS / NCGR members; $90.00 for non members

Level II Testing Cost

$55.00 for current STARS / NCGR members; $100.00 for non members

Please send this form and your check made payable to STARS to:

Eric Spencer Johnson / STARS Education Director
PO Box 49056
Blaine MN 55449