3-Day Michael Ellis Seminar
Registration Form

Leerburg Sponsored
3 Day Michael Ellis Seminar Printable Registration Form

Fill out form below, print, and mail to:

Leerburg Enterprises, Inc.
Attn: Seminar
PO Box 218
Menomonie, WI 54751

Information We Need:

Name:
Address:
Address (cont):
City:
State/Province:
Zip/Postal Code:
Country:
Home Phone:
Work/Cell Phone:
Email Address:
Spectator or Handler :
Age of Dog:
Breed of Dog:
Dog Titles:
Days Attending:
Comments:

Payment Method:

$125.00 Per Day for Working a Dog

$75.00 Per Day for Spectators

Check/Money Order (make checks payable to "Ed Frawley ")

Please fill out a seperate entry form for each individual attending.

* It is very expensive and time consuming to put these seminars on. For this reason we do not refund any money or accept any cancellations for any reasons after June 15th, 2008. We will retain your deposit from your registration fee if you cancel before June 15th, 2008.

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