Obedience Tuesday DROP-IN Class Payment Form
This form is ONLY for students who have been pre-approved for drop-in with Annette 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)
*
Date of Drop-in
*
-
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 DROP-IN Non-Member
Drop-in with instructor Annette Flippen
$
30.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Tuesday Obedience DROP-IN Class Member in Good Standing
Drop-In class with Instructor Annette Flippen
$
20.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Payment Methods
Debit or Credit Card
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
Should be Empty: