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2007 BCSA
Health Testing - Registration Form |
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TELEPHONE: |
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| CONFIRM E-MAIL: | |||||||||
| DOG(S) CALL NAMES: | |||||||||
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CHECK TEST AND ENTER # OF DOGS: |
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CHECK PREFERRED CERF TEST TIME: |
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CHECK PREFERRED BAER TEST TIME: |
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NOTE: We will try, but cannot guarantee your time preference for either test. |
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SIGNATURE: _________________________________________ DATE: |
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ENCLOSED: |
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Send registration and check
payable to BCSA (see fees on Health Page) to: Lisa Pruka, 10321 Harrison Rd, Rockton IL 61072 |
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Office Use Only: Received _______________________ Check #: _____ |