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Registration Form
REAL SOLUTIONS TO EVERYDAY CANINE BEHAVIOR PROBLEMS
(Real Solutions for Canine Behavior Problems)

Pat Miller
Saturday & Sunday • March 14th & 15th, 2015
Top Notch Canines - Pheonix, AZ
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.


SEMINAR FEES
Group Rates (includes both days):
group of 3-4: $139 per person; 5 or more: $119 per person.


FOR GROUP DISCOUNT REGISTRATION & INFORMATION CALL: 917-699-6440

Saturday & Sunday • March 14th & 15th, 2014
Saturday & Sunday • Early Bird until February 21 $159.00
Saturday & Sunday • After February 21 $179.00

Saturday • March 29, 2014
Saturday Only • Early Bird until February 21 $ 80.00
Saturday Only • After February 21 $ 90.00

Sunday • March 30, 2014
Sunday Only • Early Bird until February 21 $ 80.00
Sunday Only • After February 21 $ 90.00

And dont 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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