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REGISTRATION FORM
BEYOND THE BASICS (of dog training)
Terry Ryan
March 25 & 26, 2006 • Norcross (Atlanta), Georgia
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

Friday, Saturday & Sunday • March 25 & 26, 2006
Workshop Fee (both days) $155.00
Workshop Fee (both days with lunch) $175.00
Saturday Only $85.00
Saturday Only with Lunch $95.00
Sunday Only $85.00
Sunday Only with Lunch $95.00
Mornings Only $85.00
Mornings Only with Lunch $105.00
Afternoons Only $85.00
Afternoons Only with Lunch $105.00

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 521
Cornwall, NY 12518-0521

email: events@petworkshops.com
 phone: (917) 699-6440
fax: (845) 497-5003

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