Bite-O-Meter, St. Louis, Missouri

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Registration Form

BITE-O-METER
Sue Sternberg
Monday June 20th, 2011
Humane Society of Missouri • St. Louis, Missouri

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*
*Sat. & Sun. June 18-19, plus Mon. June 20, 2011*
	Monday Workshop plus 2 day "Canine Behavior Problems", Discount rate (includes all 3 lunches). See the separate Canine Behavior Evaluation Seminar program for June 18 & 19. Early Bird discount until May 25	$295.00
	Monday Workshop plus 2 day "Canine Behavior Problems", Discount rate (includes all 3 lunches). See the separate Canine Behavior Evaluation Seminar program for June 18 & 19. After May 25	$320.00
*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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