Obedience Tuesday Class Payment Form
This form is ONLY for students who are currently training with Annette at SICDTC OR have been pre-approved by the registrar.
Name
*
First Name
Last Name
Email
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Name of Dog (if Mulitple dogs add information in comments)
*
Start Date of Session
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Comments or Multiple dogs' information
Obedience Classes: If you have club vouchers, please contact Desma (sicdtc@hotmail.com) to get a coupon code
*
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Tuesday Obedience Class Non-Member
8 week classes with instructor Annette Flippen
$
225.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Tuesday Obedience Class Member in Good Standing
8 week class with Instructor Annette Flippen
$
155.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Tuesday Obedience Class Member TC Discount ONLY
8 week class with Instructor Annette Flippen
$
135.00
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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