Registrant's name
Full mailing address
Name of clinic, shelter or rescue organization
Phone #1
Phone #2
Method of payment
Will you be staying at the Hampton Inn?
Veterinarian
Veterinary technician
Shelter staff
Rescue volunteer
Raleigh Learning "DOG" Conference
January 18-19, 2014
Check
Paypal
yes
no
Other
Veterinary student
Boarding personnel
E-mail address
Trainer
Vet student - Class of...
See ya in Raleigh!
2014
Learning "DOG"  Conferences

REGISTRATION PAGE

RALEIGH Registration  11/1/13 - 1/5/14    $165.00
RALEIGH Registration  1/6/14 - 1/17/14    $195.00
(there is no registration at the door)

Veterinary student special... only $45.00!


NOTE:  conference limited to 60 participants.
How to register:

   (1) Fill out & submit our online registration form
            (one form per registrant)

   (2) To pay by check, please print out this page and 
             send it with your check to:
        Safe Harbor Farm, PO Box 493, Maysville, NC 28555

   (3) To pay by Paypal, click on the Paypal button below

For more information, call 252 422-6770
* Payment non-refundable after 12/31/13.  Balance after deduction of $35 handling fee refundable until then.
Please call 252 422-6770 should you experience any trouble with our PayPal buttons.  Thank you!
Jillian the Chihuahua, on Hollywood Blvd.
REGISTRATION
VETERINARY STUDENTS