Bite-O-Meter, Accord, New York

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Registration Form

PROTECTING SHELTER, DAY CARE, & KENNEL STAFF
West Artope & Jane Kopelman
Saturday & Sunday • December 3 & 4, 2011
Accord • New York

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*
*PROTECTING SHELTER, DAY CARE & KENNEL STAFF*
Saturday • December 3, 2011
	Saturday	$90.00
	Saturday with Lunch	$102.00
Sunday • December 4, 2011
	Sunday	$90.00
	Sunday with Lunch	$102.00
Saturday & Sunday • December 3 & 4, 2011
	Saturday & Sunday	$175.00
	Saturday & Sunday with Lunch	$199.00
*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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