PCOTC AKC ACT Payment Form

PCOTC AKC ACT Payment Form

Sunday, September 27, 2026
The Agility Couse Test (ACT) will be held at PCOTC on Sunday, September 27th, 2026

Upon completion of the separate ACT Registration form for your dog, please use this form to pay your registration fee by credit card.

Please complete one registration form and one payment form for each dog that you enter for the ACT.

Registration deadline is Wednesday, September 23, 2026 at 6:00 p.m.
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name (Your name must match your name on the ACT registration form)

First NameLast Name
Dog 's Call Name

Number of Runs Registered

$15.00 Quantity

Total