Agility Wednesday Class Payment Form
Must be already taking class or approved to join these classes
Starting Date of this session
*
-
Month
-
Day
Year
Date
Time of your class
*
Hour Minutes
AM
PM
AM/PM Option
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Name of Dog
*
What, if any, agility classes or training have you taken with this dog?
*
If registering multiple dogs please add info below. Comments or Questions
Agility Wednesday Classes: If you have club vouchers please contact Desma (desmadunne@hotmail.com) to get a coupon code
*
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Wednesday Agility Class Member TC Discount ONLY
$
135.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Wednesday Agility Class SICDTC Member in Good Standing
$
155.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Wednesday Agility Class Non-Member/Other Members
$
225.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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