Margolis Enterprises, Inc.

Certification Registration Form

Check here if this is an inquiry about the next available Certification Program. Ask us to reserve a place for you and to send specific details. At this time, there is no fee required, however, you will be required to pay the fee prior to the start of the program.

Check here if this is a registration for Certification in 2006 in Los Angeles and includes full payment of the $495 fee. Refund less a $20 processing fee will be made on any cancellation received prior to a scheduled program.

Check here if this is a registration for Certification and includes a partial payment of $247.50. Balance of $247.50 to be paid no later than two weeks prior to the start of the program

Confirmation and any other information will be sent to you. You are responsible for your own transportation, meals and hotel. For current information about the program and selected hotel, please call The Business of Dog Training at 800-670-9663 toll-free.

Date Preference (Check one)
2006-To be Scheduled
2006

First Name:
Last Name:
Street Address:
Apt:
City:
State:
Zip:
Country:
Home Phone:
Day Phone:
Fax:
E-mail:

(Check one)
 I have completed the program.
 I am currently studying The BUSINESS of Dog Training and will be ready for Certification.

Secured by Verisign for your protection: Continue to complete this form only if you are Registering
In addition to the information above, you must complete the following only if this is a Registration and you are including your registration fee.

TO REGISTER BY MAIL (Credit Card, Money Order or Personal Check)
Print this form, complete the information and mail with your check, money order or credit card information to:

Certification Registration
Margolis Enterprises, Inc.
PO Box 3300
Diamond Springs, CA 95619

TO REGISTER ON LINE NOW USING YOUR CREDIT CARD:
(All information in encrypted for your protection)
Complete this form with credit card information.  Your card will be charged the amount specified above: $247.50 reservation with balance of $247.50 due two weeks prior to the start of the program; or the total fee of $495 for the Certification Program.

Credit Card Information
Credit Card:Visa MasterCard Am   Discover
Credit Card Number:
Card Holder Name:
Exp. Date:

  


All About Home Study

Contact the Registrar -- 800 670-9663


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