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2012 CCA Rotating Specialty CHIC Health Clinic Registration PDF Print Email
Written by Patricia Witter   

2012 CCA CHIC Clinic Registration

  1. The Health Committee of the Chihuahua Club of America is pleased to provide a complimentary microchip for any person that signs up to complete all three tests required to obtain a CHIC number at Health Clinics taking place at the Rotating Specialty in Houston.

    Please register below for the CHIC Health Clinics to be held in Houston, Tx at the Rotating Specialty March 3, 2012.

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  2. Full Name(*)
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  3. E-mail(*)
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  4. Telephone #(*)
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  5. Are you a member of CCA?(*)
    Are you a member of CCA?
  6. Are you showing on Saturday(*)
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    This will help schedule appointments
  7. Please Select the Examinations you will be registering for(*)
    Please tell us how you come to the Fall National Specialty?
  8. # of Pets you are Registering
    Please check the price range you paid for your shuttle one-way to the Chicago Marriott Northwest?
    Please enter the number of pets you will be registering for
  9. More Than 5 pets
    Enter the number of pets you will be registering
    Please enter the number of pets you are registering for if over 5
  10. SPAM CONTROL
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  12. Please bring your dog(s) AKC Registration Information with you so that we can complete the paperwork.

    You will be contacted prior to the Specialty with regard to appointment times

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Last Updated on Friday, 03 February 2012 12:19