SPINONE CLUB OF AMERICA NATIONAL SPECIALTY

APRIL 26 - APRIL 29, 2000

CHELSEA, MICHIGAN

REGISTRATION FORM

Names of all attending:
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
ADDRESS:
___________________________________________
___________________________________________
___________________________________________

FULL registration (includes all meals for 3 days)
Before April 12: $85.00 per adult, $45.00 per child*

After April 12: $100.00 per adult, $55.00 per child*

ONE DAY registration (includes meals for that day)
$30.00 per adult, $15.00 per child*

*Children aged 10 and under

I would like

____ FULL Registrations at $______ = $________
____ Thursday Only registrations at $______ = $________
____ Friday Only registrations at $______ = $________
____ Saturday Only registrations at $______ = $________
Separate entry form enclosed for each dog for a TOTAL of:
____ Conformation Entries at $ 20.00 = $________
____ Puppy Sweepstakes Entries at $10.00 = $________
____ Obedience Entries at $20.00 = $________

*** FOR HUNT TEST AVAILABILITY ***
 CONTACT:  LARRY DICKEY
45310 ST. RT. 154
NEW WATERFORD, OH, 44445
Phone: (330) 227-3887

I am bringing ___ dog(s) to the microchip clinic at $25.00 ea. = $________
___ dog(s) to the CERF clinic at $20.00 ea. = $________

 

TOTAL
ENCLOSED

 

=

 

$________

Fees (check or money order in US funds) payable to: Spinone Club of America

Send entry forms and fees to:  Jan Naigus
49191 Ridge Court
Northville, MI 48167

 

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