Chemical Capture Registration Form | Louisiana Animal Control Association

Full Name *

Agency/Shelter *

Address *

Phone Number *

Email Address *

Registration Fee (Includes LACA Dues): $225.00

Registration Fee includes seminar binder, catered lunch, break refreshments, a certificate upon successful completion and LACA dues.
If you are not attending, but would like to maintain your membership, membership renewal fees are $50.00.

**Make check(s) payable to: Louisiana Animal Control Association**

Mail Form with Remittance to:
Angela Sullivan
5500-A Swift Plant Rd.
Lake Charles, LA 70615