Sue Sternberg in Chicago, Illinois

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Registration Form

ONE DAY CANINE BEHAVIOR SEMINAR
Sue Sternberg
Sunday • May 7th, 2006
For Your Canine, Inc. • Schiller Park, 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.

*SEMINAR FEES*
*Sunday • May 7, 2006*
	Sunday Only	$95.00
	Sunday Only with Lunch	$105.00
*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 521
Cornwall, NY 12518-0521

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

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