“Just Get Over It--It's Only a Dog!"

Registration Form

Name: _________________________ Phone: _________________

Address: _________________________________________________________________

Email address: ____________________________________________________________

I will attend this seminar on the following date:

____ September 29, 2008, 1:00-4:15, Savage Auditorium, Presbyterian Hospital, Albuquerque

____ October 30, 2008, 1:00-4:15, Rainbow Vision, Santa Fe

____ December 8, 2008, 9:00-12:15, Savage Auditorium, Presbyterian Hospital, Albuquerque

Continuing Education Units? What type of professional license do you have? ___ Counselor ___ Social Worker ___ Case Manager

To reserve your space at this seminar, submit this registration form as follows:

• Send as email attachment to info@guardianangelsllc.com; or

• Fax this form to (505) 995-8777; or

• Mail this form with payment to: Guardian Angels, 2 Chamisa Drive North, Suite B, Santa Fe , NM 87508

Please select payment type:

Mail payment at least one week in advance ($59.00) ____; Pay by credit card (click here) using PayPal (enter $59.00 under "donations")____; Pay by check at the door and mail certificate ($69.00) ____.

Please contact us by email or at (505) 995-8333 with questions.