Contact Information

Paula Wortman, Clinic Chair
Phone: (651) 771-4897
EMAIL

Clinic Fees

  • Cardiac: $25.00
  • CERF: $30.00

Important Information

We must have at least 30 dogs signed up for each of the clinics.  The clinics will be opened to Tollers on a first come basis for scheduling and then to the general public so sign up for the clinics early.

 

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Health Clinic Registration

Note: Items marked with an (*) asterisk are required.

Contact Information
Address
Optional
Optional
You must tell us where you are from. If non-US resident, use the "Other" choice listed at the bottom. A list of Countries will then be provided.
If your Country is Canada, please choose your Province.
Optional
Required. Make sure your email address is correct.
( )
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Registration Information

Please check which clinic(s) you want scheduled and indicate in "Quantity" the number of dogs you wish tested for each test. 

Comments

When you "Submit" this form, you will have the opportunity to review your answers and make any corrections prior to final submission.  You will receive a confirmation email that we received your information once you do the final submission.  Incomplete forms will be deleted after 7 days.

Payment can be made through the Shopping Cart through PayPal or by check/money order.  You will be directed to the Shopping Cart after final submission.

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