Puppy Class Inquiry Form WORKING SPOTYOUR NAMECPDT Certificate # if 13.25 CEU desired (!)NAME OF DOGBEFORE MAY 1 25% DISC $165BEFORE JUNE 1 (AFTER MAY 1) 15% DISC $187AFTER JUNE 1 $220DAY OF $235 AUDITINGYOUR NAMEBOTH DAYS $90SAT ONLY $65SUN ONLY $50 Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CellEmail Payment Cash Check PayPal (Use agilityunderground@gmail.com as our payment address) Mailing address: Cloverleaf Animal Hospital PO Box 712 Westfield Center OH 44251
