Sue Sternberg in Accord (Kingston), New York

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Registration Form

TWO DAY CANINE BEHAVIOR SEMINAR
Sue Sternberg
Thursday & Friday • July 5 & 6, 2007 or Wednesday & Thursday • July 18 & 19, 2007
Rondout Valley Animals for Adopption • 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* ATTENDANCE LIMITED TO 30
*Thursday & Friday • July 5-6, 2007*
	Seminar Fee (both days) includes light lunch.	$250.00
*Wednesday & Thursday • July 18-19, 2007*
	Seminar Fee (both days) includes light lunch.	$250.00
*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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