2010 BORDER COLLIE NATIONAL SPECIALTY
 October 18-24, 2010 - Purina Farms - Gray Summit, Missouri
RESCUE DINNER- eRESERVATION - DEADLINE 9/19/10

After you click "Submit", you will be taken to the Confirmation/Shopping Cart window.  You can choose to pay with a credit card or mail a check (address on next page).  (R) = Required Information
First Name:   (R)
Last Name:   (R)
Address:   (R) 
City/State/Zip:   (R)
Best Telephone:   (R) 
E-mail:    (R) 
Best Way to Contact:   (R) 
   
Payment Method:   (R) 
Number Attending:    (R) 
Amount Due:    (R)  $22.00 each
 Special Instructions: