Quaker City DPC Sponsored Cardio Clinic

Cardio Clinic Testing Dobermans Only

Michael S. Miller, MS VMD

Saturday Sept 24, 2011
237 Barnsboro Rd
 Sewell, NJ 08080

$175 prepaid by Sept 14, 2011

Registration closes on September 14, 2011

Testing includes:
Cardiac Ultrasound
EKG
Written verification by Dr. Miller

Testing limited to 25 Dogs

Make checks payable to QCDPC and mail to:
Sharon Marinelli
237 Barnsboro Rd
 Sewell, NJ 08080
856-589-1010

Owner:_________________________________________________________________________

Address:_______________________________________________________________________

Phone#:__________________Breed:___________________

Date of  Birth:__________________

Referring Veterinarian:_____________________________Prior testing:  Y/N:

If  yes when:_____