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
*
prev
next
( X )
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
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
Should be Empty: