2015 Application for Registration SAMPLE "Neither clones nor cloned offspring will knowingly be entered into the registry by ABBI staff. Members must also comply." DO NOT SEND BLOOD CARDS IN PLASTIC BAGS. HAIR SAMPLES MUST BE ON HAIR CARDS. Name: Address: _____ ABBI #: ____ Phone #:____________________________ City: State: _______ Zip Code: _____________ Animal Registration ___ *Required – Fields that are left blank will result in blanks on certificates. *If Offspring’s Sire or Dam is being registered at the same time then the sire and dam must appear on the worksheet before the offspring. DOB mo/dy/yr *Required 1/21/2015 1/5/2015 6/18/2013 2/28/2015 Sire Name & ABBI Number Dam Name & ABBI Number Animal Name Animal's Brand # *Required *Required *Required *Required Sire 1 10000001 Dam 1 10000002 Sire 1 10000001 Dam 2 10000003 Sire 2 10000004 Sire 3 10000005 Dam 1 10000006 Not registered Not registered Calf 1 Calf 2 Calf 3 Calf 4 1 2 3 4 Animal Color EID Tag $15/bull Super Stakes $25/bull Add $3.95 S&H/order Y Y N N Y Y N N Y Y N N Y Y N N red Black & white paint brown white Horns Sex Original Breeder Office Use Type Sex Type Service ABBI Breeder # ABBI Number P H D P H D P H D P H D B C N AI ET B C N AI ET B C N AI ET B C N AI ET Notes: Page: All DNA samples submitted and profile created therewith will be considered property of ABBI. Owner’s Signature__________________________________ *Applications Will Not Be Processed Without A Signature. American Bucking Bull Inc. 101 W. Riverwalk, Pueblo, CO 81003 Phone: 719-242-2747/Fax: 719-242-2746