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CANINE Registration Form

COLORS
www.caninecolors.com
www.caninecolors.com

PLEASE RESERVE MY SPACE FOR:


DATE & LOCATION: _________________________________________________________________
$395 per person (Includes: 2-Day program, workbooks and course materials).

Fee is due and payable prior to training date. Please note: The workbooks and course material included in
your training is adequate for you to present Canine Colors Seminars, additional participant materials must be
purchased.
Meals, lodging and travel not included.

NAME: ___________________________________________TITLE: ____________________________

ORGANIZATION: ____________________________________________________________________

ADDRESS:__________________________________________________________________________

CITY: ____________________________________ STATE: _________ ZIP: ____________________

PHONE: ___________________ CELL: ___________________ FAX: __________________________

EMAIL: _____________________________________________________________________________

PURCHASE ORDER #: _____________________________CHECK #: _________________________

* MC/VISA/AMEX : ______________________________________CVC (3 or 4 digits) : ______________ EXP : ________

*NAME ON CREDIT CARD : ____________________________________________________________

*ADDRESS FOR CREDIT CARD: (If different from above)____________________________________

*CITY:_____________________________________________ STATE: _____________ ZIP:________


Confirmation will follow. Fee is payable and due prior to training date. Please return this registration form with a
check, purchase order number or credit card information or call to reserve your seat and return before 15 days prior
to:
Canine Colors
3605 W. MacArthur Blvd., Suite 702, Santa Ana, CA 92704
Phone: 800-422-4686 ext 223 Fax: 866-374-8958
connie@true-colors.com

Please answer the following questions:

How did you hear about Canine Colors? ____________________________________________

How would you like to use Canine Colors? __________________________________________

Who will be your audience when presenting Canine Colors?____________________________


REGISTRATION/CANCELLATION POLICY: Registrations must be received no later than 15 working days prior to training date.
Cancellations will be accepted, subject to a $50.00 service charge, up to 5 working days before the training. In the event of a later
cancellation, the entire fee is due and payable; however, you may attend another date. Substitutions of participants may be made at
any time. In the event of a cancellation for any reason, Canine Colors liability is limited to the return of registration fee only. The
Training may be cancelled if minimums of fifteen (15) participants are not registered.

To Register Please Fax Form To 866-374-8958 or Call 800-422-4686 ext. 223

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