Complete Canine Communication - Simply Puppies - Workshop Registration Form 2018

Workshop Dates(*)

Please select preferred dates for attending the workshop.

Your Name(*)
Please let us know your name.

Street Address(*)
Please let us know your street address.

Suburb / City(*)
Please let us know the suburb in which you live.

Please let us know the state in which you live.

Please let us know your postcode.

Your Contact Phone Number(*)
Please provide a contact phone number.

Your Email(*)
Please let us know your email address.

Where did your hear about us?(*)
Where did you hear about us? Was it through a friend, through the internet, our website, facebook.....?

Name of Puppy(*)
What are your dogs names?

Breed and Age of Puppy(*)
Please let us know what breed your dogs are and how old they are.

Brief description of problems you may be experiencing
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Payment Information: Your booking is secured by payment on a first come first served basis. $200.00 Per Person. 10% Discount per person for multiple family members.

Please ensure when booking you are aware that there is a $50.00 non-refundable deposit

Payment Method(*)
Please let us know which payment method you wish to use.

Bank Details: Suncorp, Workshops, BSB: 484799, Account: 605074320, Ref: Your Name

If you would like to pay via credit card, please contact the office on (07) 3855 3555 during business hours. Business Hours: 9.30am - 5.00pm Monday-Friday and 9.00am - 3.00pm Saturday


Postal Address: The Complete Pet Company, PO Box 757, THE GAP, QLD, 4062

Workshop Address: The Complete Pet Company, 148 South Pine Road, Enoggera

Are you human?(*)
Are you human?
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