Registration form for:

Beginner Agility Camp 2006

Steppin' Up Dog Training School
Freetown, Massachusetts


Fee: $425.00 ($200.00 Deposit Due May 31, 2006)

                Camp

Beginner Agility Camp 2006   

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

BILLING
Method of Payment

Amount Enclosed

  $

Credit Card
Cardholder Name
Card Number
Expiration Date

V Check

$25 Cancellation Fee.  No refunds 30 days before the event.

Please user your browser's PRINT button to print the completed form and either mail along with your check payable to "Steppin Up" to Terri Arnold, 186 County Road, East Freetown, MA 02717 or fax to 508-763-3184 with your credit card information.

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