Welcome to Auntile Litter's Web Site On Litter Prevention and Enviromental Education

Earth Day 2013 Registration Form
April 23, 2013
Birmingham Zoo


School & Lead Teacher Contact Information

A value is required.

A value is required.



Email Address A value is required.Invalid format.

Classes Attending – Please give us the names of ALL teachers attending so we can sort goodie bags by class.

Class 1


Class 1 Total Registration Fees:

Class 2


Class 2 Total Registration Fees:

Class 3


Class 3 Total Registration Fees:

Registration Fee for ENTIRE school (sum of totals above):

T-Shirt Orders
Enter the quantity of t-shirts and corresponding totals for each size. $7 each and $10 for XXL and XXXL. T-shirts on Earth Day are $10 and $12






Total T-Shirt Order :

TOTAL AMOUNT OWED*:
(the sum of the registration and T-shirt orders)       

* Print two copies and bring with you.
 
Phone(205)879-3009 • Fax(205)879-3049
email: info@auntielitter.org
1776 Independence Court Suite 304 Birmingham, AL 35216
Auntie Litter ® is a registered trademark for Auntie Litter, Inc.