SPINONE CLUB OF AMERICA

1998 Annual Meeting

Please use this form to register you and your family for attendance at this year's annual meeting.  Fill out requested information and return with your registration fee to:

Jean Brickell
P.O.Box 177
Pewee Valley, Kentucky 40056

 

Name: ______________________________________

 

Address:

City, State, Zip

______________________________________

______________________________________

Telephone Number:
______________________________________

Number of people attending.  
Please list names of all attendees:

______

 

____________________ Fee enclosed
($60.00 each)


Number of dogs
attending:


Events you plan to participate in (separate entry forms are attached)

Hunt Test  

____________________ Fee enclosed
NA: $75.00
UPT and UT: $90.00


Conformation  

____________________ Fee enclosed:
$20.00/class
$10.00/additional entry


Obedience  

____________________ Fee enclosed
$20.00/class
$10.00/additional entry


MICROCHIP CLINIC  

____________________ Fee enclosed
$25.00 each


Member's Reception  

____________Included with registration



***  MAKE CHECKS PAYABLE TO SCOA ***

TOTAL:                                Fee Enclosed


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