Registration Form for INTERMEDIATE SEMINAR

You may register on line by filling out the form below on line and sending your check to Dave Pomfret at the address below (this will save you a slot) OR you may print out the form and send it along with your check to Dave Pomfret.

The fee for the seminar is $750.00

NOTE: Your reservation WILL NOT BE CONFIRMED until your check is received by Dave Pomfret.

Registration Form FOR INTERMEDIATE SEMINAR
Rick Smith Seminar
Hosted by Dave Pomfret
September 21, 22, 23, 24, 2006
Orange, VA

Name:

Street:     City:   State:   Zip:

Phone (day):     Phone (evening):

E-mail address:

Breed of Dog:   Age of Dog:

Comments:

If registering on line, mail just your check for $750.00 - If printing this Registration Form, mail your form and your check for $750.00 to:

Dave Pomfret
PO Box 1336
Orange, VA 22960

Make your check payable to: Rick Smith Seminar