Terry Ryan, November 12 & 13, 2005

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REGISTRATION FORM

RECHARGING THE CANINE CLASSROOM &
TOOLBOX FOR CHANGING UMWANTED BEHAVIOR
Terry Ryan
November 12 & 13, 2005 • Accord (Kingston), 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.

*WORKSHOP FEES*
Friday, Saturday & Sunday • November 12 & 13, 2005
	Workshop Fee (both days)	$165.00
	Workshop Fee (both days with lunch)	$185.00
	Saturday Only	$85.00
	Saturday Only with Lunch	$95.00
	Sunday Only	$85.00
	Sunday Only with Lunch	$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 521
Cornwall, NY 12518-0521

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

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