2015 Registration Application SAMPLE

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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
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