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REGISTRATION FORM
Reimagined Dog-Dog Aggression Treatment
Dr. SUZANNE HETTS & NANCY WILLIAMS
April 2nd & 3rd, 2016 • Scottsdale, Arizona
First Name:
Last Name:
Business/Organization:
Address:
City:
State/Province:  
Zip/Postal:
Work Phone:
Home Phone:  
Email:
Method of Payment: Visa Mastercard Check in the Mail
Account Number
Expiration Date
Validation Code  last 3 digits on signature panel.


WORKSHOP FEES
Group Rates: (includes both days) Groups of 3 - 4: $145 each; Groups of 5 or more: $125 each.   For Group Rate Registration Info Please call 917-699-6440.

Saturday, & Sunday • April 2 & 3, 2016
Seminar Fee (both days) Early bird until March 14, 2016 $165.00
Saturday Only Early bird until March 14, 2016 $85.00
Sunday Only Early bird until March 14, 2016 $85.00

Saturday, & Sunday • April 2 & 3, 2016
Seminar Fee (both days) After March 14, 2016 $185.00
Saturday Only After March 14, 2016 $95.00
Sunday Only After March 14, 2016 $95.00

And don't forget...
  Please send me more brochures to share with friends and colleagues.
  Notes/Special Requests:
An email confirmation will be sent to you for your files.

Please complete this registration form and mail in a check or provide us with your credit card number above. You can also phone or fax us your registration and payment information.
Please make checks payable to:

Petworkshops, LLC / Puppyworks
PO Box 938
New Paltz, NY 12561

email: events@puppyworks.com
phone: (917) 699-6440
fax: (845) 255-4920

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