2008 Judges Education Seminar

* Seminar is $25.00

* Make checks payable to:    DPCA

Name: __________________________________________________

Address: ________________________________________________

City: ____________________________________________________

State: ___________________     Zip:   ________________________

Phone:  ______________________  Cell: ______________________

Email: ____________________________________________________

AKC Number _______________________________________________

Breeds/Groups you are approved to judge: ____________________

____________________________________________________________

_____________________________________________________________

Payment must be made in US Funds and drawn on a US bank. There will be a $25.00 service charge for any check not honored by the bank.

Print, complete, and mail this form along with your check/money order made payable to DPCA to:

Helayne Silver
2116 Sondra Court
Silver Springs, MD 20905 USA