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Seminar Registration by xHRYX2H

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									                     The Language of Dogs Seminar Registration
                                Saturday, September 20, 2008
                                      9:00 A.M. -5:00 P.M.
                       Gene B. Glick Junior Achievement Education Center
                                     7435 N. Keystone Ave.
                                     Indianapolis, IN 46240

Please complete one form per attendee.

Date: _______________

Attendee Name: ______________________________________

Address: ____________________________________________

City: __________________________ State:_________ Zip:_____________

Phone: _(      )________________________________


Seminar Fee: (Select one)

$95.00 per person before September 5, 2008                                                      _______

$110.00 per person after September 5, 2008 but before September 20, 2008                        _______

$125.00 per person at the door                                                                  _______

Payment Method:

Check_______ Mail to 10617 Zionsville Rd. Zionsville, IN 46077

Mastercard Number: ________________________________________

Expiration Date_________

Security code (last 3 digits on reverse side of card):____________

Visa Number :______________________________________________

Expiration date:___________

Security code (last 3 digits on reverse side of card):____________

Phone registration (317) 281-8496 (Bobbie Coyle)

Fax Registration Form to: (317) 733-9256 or email to Bigdog@daycareforthedogs.com

Cancellation Policy:
Full refund if cancelled by August 31, 2008 or half refund if cancelled before September 8, 2008. No refund given
after September 8, 2008.

Sponsored by Carmel Clay Animal Hospital, For the DOGS! & Pet Supplies Plus

								
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