CANINE EYE CLINIC
Saturday, September 2nd, 2017 * Hours: 9:00 a.m. to 5:00 p.m.

Dr. Daniel Betts DVM, DACVO
Attending Vet

Where: Amana Hospitality Building
Located across the street from the Obedience Building.
Please look for signs day of the show.

Exam Fee: $40.00 per dog
Priority scheduling requires
*pre-registration*
Payment Due August 16, 2017
(NEW Pay Pal option below)

Note: Dogs must be present 20 minutes prior to appointment; for pre-drop exam and to administer drops.

Administration of drops will begin at 8:30 am. Please note many breeds will need to be present
for an initial exam, prior to administering drops. If you aren't sure, please contact us for more Information.

* * * Late & Walk-In registrations will only be accepted as time allows * * *

* * * Scheduled appointments will be emailed/mailed asap following club access to the judging program * * *

Questions please contact: Cindy McDonald 319-329-9370 or email: fogebotom@yahoo.com

Mail to: Cindy McDonald * 3846 Lillie Road, Central City, IA 52214

EYE CLINIC FORM
PRINT and mail with your payment or use our NEW Pay Pal option.
Priority scheduling requires pre-registration.

Name:
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Address:
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City:
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State:
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Zip:
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Phone:
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Email:

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(valid email required)
           
 
Please List individual dogs:
Breed
Call Name
Showing: Yes or No
 
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NEW PAY PAL OPTION: EYE CLINIC
To view cart, go to our Five Season Cluster page, Click "View Cart" button.
 
NUMBER OF DOGS

BREED(S) SHOWING YES or NO


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