Agility Monday Class Payment Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Dog's Name
*
Start Date of Session
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Comments or Mutliple Dog's Information
Agility Monday Classes: If you have club vouchers please contact Desma (desmadunne@hotmail.com) to get a coupon code
*
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Monday Agility Class Non-Member
8 week classes with instructor Jo Lesko
$
215.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Monday Agility Class Member in Good Standing
8 week class with Instructor Jo Lesko
$
145.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Monday Agility Class Member TC Discount ONLY
8 week class with Instructor Jo Lesko
$
125.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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