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 Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date of Drop-in & Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Dog's Name (for Multiple dogs add information in comments below)
*
Comments or If more than one dog add here
Obedience Classes: If you have club vouchers please contact Desma (sicdtc@hotmail.com) to get a coupon code
*
prev
next
( X )
Monday Obedience Class DROP-IN Non-Member
Drop-In class with instructor Regina Steiner
$
35.00
Quantity
1
2
3
Item subtotal:
$
0.00
Monday Obedience DROP-IN Class Member in Good Standing
Drop-in class with Instructor Regina Steiner
$
25.00
Quantity
1
2
3
Item subtotal:
$
0.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: