Obedience Tuesday Class Payment Form
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Name
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First Name
Last Name
Email
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Cell Phone Number
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Name of Dog (if Mulitple dogs add information in comments)
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Obedience Classes: If you have club vouchers please contact Desma (desmadunne@hotmail.com) to get a coupon code
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Tuesday Obedience Class Non-Member
8 week classes with instructor Annette Flippen
$
215.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Tuesday Obedience Class Member in Good Standing
8 week class with Instructor Annette Flippen
$
145.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Tuesday Obedience Class Member TC Discount ONLY
8 week class with Instructor Annette Flippen
$
125.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Start Date of Session
*
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Month
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Day
Year
Date
Time of Class (if Multiple dogs add information in comments)
Hour Minutes
AM
PM
AM/PM Option
Comments or Multiple dogs information
Payment Methods
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First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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