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Parrot Education & Adoption Center |
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Forms: Seminar Registration
While many of the PEAC seminars are required for adoption, they can also be attended by people in search of information about their companion birds.
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| Full Name: | |||
| Mailing Address: | |||
| City, State, ZIP, Country: | |||
| Phone and e-mail: | |||
| Credit card type: | ($20 minimum) [ ] VISA [ ] Mastercard [ ] American Express | ||
| Credit card number and Expiration Date (MM/YYYY): |
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| Seminar Date |
Seminar Title |
Number Attending |
Amount Due |
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$ | ||
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$ | ||
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$ | ||
| Total Amount Enclosed |
$ | ||