Equine Behavior Seminar Series 

Equine Behavior Educational Seminars

If the contents are cut off at the right side of the page when printed, please set the page print margins to 1/2 inch or less.
Either Complete this form and Print, or Print and Hand-complete the form, then mail to the address below.

First Name   Last Name   
Address
City State   Zip  
Phone   Cell Phone 
E-mail

The above person may serve as a contact for additional registrants: list additional participants

First Name Last Name Email            Phone

Enter the number of registrants in the first box below and enter total dollars in the second box

Equine Behavior
If received by April 11, $50 x = $ If received April 12-28, $60 x = $
Foal Training
If received by April 11, $20 x = $ If received April 12-28, $25 x = $
Both Courses
If received by April 11, $60 x = $ If received April 12-28, $70 x = $
           
Box lunch* for seminar #1 (order must be received by April 11) $11 x   = $

Total Payment  $

*Indicate lunch choice(s). Served with red seedless grapes, sun chips, large chocolate chip cookie & bottled water. (type quantity in each box)

  Quantity
Roast Beef & Cheddar on Whole Wheat .......................................................................................................
Ham & Swiss on Marble Rye .......................................................................................................
Turkey & Provolone on Sourdough .......................................................................................................
Veggie Wrap with Herbed Tofu .......................................................................................................
Total Quantity of lunches (should be the same number as entered for Box Lunches above  

Payment

CHECK VISA  MASTERCARD    Checks should be made out to PATH with "Dr. Miller” in the FOR line.
Card Number  Expiration Date
Signature       

NOTE: Name, Address and Phone Number should be typed at the top of this form as it appears on the card.

EMAIL IS NOT SECURE. DO NOT EMAIL CREDIT CARD INFORMATION.

Please note that there will be no refunds AFTER April 1, 2007.

Some of Dr. Miller’s books will be available to purchase the day of the seminar.

Either Complete this form and Print, or Print and Hand-complete the form, then mail to:

Katie Seaman
College of Veterinary Medicine
Washington State University
PO Box 647010
Pullman, WA 99164-7010
Phone: 509-335-7347 Fax 509-335-6094
sjacobson@vetmed.wsu.edu

For More Information
Sue Jacobson
sjacobson@vetmed.wsu.edu
509-335-7347