Class-Obedience RS Monday DROP-IN Payments

Obedience Monday Class DROP-IN Payment Form

This form is ONLY to be used by those pre-approved by Regina Steiner or have been pre-approved by the registrar
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Drop-in & Time

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Dog's Name (for Multiple dogs add information in comments below)
Comments or If more than one dog add here

Monday Obedience Class DROP-IN Non-Member

Drop-In class with instructor Regina Steiner

$40.00 Quantity
Item subtotal:

Monday Obedience DROP-IN Class Member in Good Standing

Drop-in class with Instructor Regina Steiner

$30.00 Quantity
Item subtotal:

Help Us Pay Processing Fees

Optional: If you would like to help cover some of our processing fees please select. Thank you!

$4.00

Enter coupon

Total

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Obedience Monday Class DROP-IN Payment Form