Heart and CERF Clinics

Saturday, March 13, 2010

9:00 am - to 4:00 pm

Open to all breeds

Heart Clinic Registration Form

Dr. Tacy Rupp

Cost: $45.00

Name of Dog __________________________________________________________

Breed ________________________________________________________________

Owner 's Name ________________________________________________________

Address ______________________________________________________________

City/State /Zip _________________________________________________________

Phone Number ________________________________________________________

E-mail _______________________________________________________________

(Ultrasound equipment will be available at an extra charge)

CERF Clinic Registration Form

Dr. Todd Strubbe, ACVO

Cost: $35.00

Name of Dog __________________________________________________________

Breed ________________________________________________________________

Owner 's Name ________________________________________________________

Address ______________________________________________________________

City/State /Zip _________________________________________________________

Phone Number ________________________________________________________

E-mail _______________________________________________________________

Preferred time:  _________________ am  _________________ pm

Make check payable (in US funds) to:

The Central Florida Miniature Schnauzer Club

Mail to:

Carole Weinberger

5897 Buford St., Orlando, FL 32835

(407) 822-8103