application for life commitment

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FRENCH CLUB OF BELGIAN SHEPHERD DOG
Affiliated with the Société Centrale Canine Dogs for improving breeds in France
APPLICATION FOR LIFE COMMITMENT
In Avignon on 17 and 18 October 2015
DEADLINE FOR RECEIPT OF COMMITMENTS: THE 3 October 2015
Any file received after that date will be refused
RULES ONLY ON BEHALF OF CDA or by bank check or international money order
to go with this film - to complete file **:
Dressage Club Avignon - Sylvie Fourcand - - 2 traverse des Oliviers - 30150 St Géniès de Comolas -  : 06 16 42 28 90 -  [email protected]
ANY INCOMPLETE, postage due or received AFTER October 3 WILL SYSTEMATICALLY REFUSED
COMMITMENT: ECHELON A 
ECHELON B 
PARTICIPATION DATE: October 17
October 18 
N ° tattoo (or identification transponder): ______________________________
N°. 2015 societary card (a copy):
Name of the dog:_________________________________________________
N°. Book of Origins: ___________________________Born the : ____________Male  Female
Breed: Belgian Shepherd:  Groenendael
 Laeken
 Malinois
 Schipperke
Name of the Father: __________________________________________________________________________________
Name of the Mother: _________________________________________________________________________________
Manufacturer name:__________________________________________________________________________________
(Owner of the Mother at the time of mating)
Owner Name: _______________________________________________________________________________________
Address: ___________________________________________________________________________________________
CP: ___________________________City: _______________________________Country:__________________________
Phone: ___________________Mail: ___________________________________Mobile:
** The file must include compulsory discipline:
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The registration form to the contest
3 registration labels
The photocopy of the card of an associate CFCBB 2015
For foreign photocopy of their 2015 card of the member countries and photocopy of rabies vaccination certificate
A settlement discipline € 18 payable to CDA
A valid postage or mail for confirmation of the commitment
Noon meals Reservation: Number: __________X 15€ = __________€ (to settle with the commitment)
Please have a copy of birth certificate or your dog's pedigree
The competitor agrees to abide by the regulations of the canine and CSC
Club President's Signature
Signature of the Competitor
How come Courtine
The club is located in the industrial zone of Courtine
Access Avignon in the South motorway from
- Exit Highway Avignon South
- Take direction Avignon Centre / Nîmes
- At the large crossing lights, turn left towards Nîmes (road called "Rocade Charles de Gaulle")
- Follow the ring road for about 4 Km always straight, Courtine is shown midway
- Pass the roundabout "TGV" and the next, continue straight
- At the traffic lights keep left and take direction "Arles Tarascon Beaucaire"
- At the second roundabout turn right
- Follow the signs Centre Sportif Municipal
Access Avignon coming from the North Highway
- Exit the motorway at Avignon Nord, take the roundabout towards Avignon Centre Commercial
Auchan
- Go through the commercial area and along the Rhone
- Exit right direction "Palais des Papes"
- At the fork, follow all directions (right)
- Then follow Nimes (stay right)
- In the parking lot of Aisles of "Oulle" follow Courtine (right)
- At the traffic lights of the "Sernam", continue straight
- Take the first right at the sign "Arles Tarascon Beaucaire"
- At the second roundabout turn right
- Follow the signs Centre Sportif Municipal
Access Avignon from Nimes
- In Europe bridge turn right and keep to the left, follow Courtine
- At the traffic lights of the "Sernam", continue straight
- Take the first right at the sign "Arles Tarascon Beaucaire"
- At the second roundabout turn right
- Follow the signs Centre Sportif Municipal
Access Avignon coming from Arles, Tarascon, Beaucaire by the D570N
- At the roundabout "said the escape", take direction "Avignon"
- After 1.4 km at the second roundabout continue straight "Avignon Centre"
- Do not go out "Avignon T.G.V." exit 4
- At the next roundabout is the first 5.1 kilometers, turn left
- Follow the signs Centre Sportif Municipal
- Au prochain rond-point soit 5,1 km du premier, tournez à gauche
If you have a GPS: 43 ° 55 '41' 'N and 4 ° 46' 00 '' E
You can view the access plan for the club: the CDA website : http://cdavignon.online.fr/
You can establish your route and visit the club's proximity to shops by clicking the following link: Google maps CDA
N° Préfecture : 202392 – N° d’Habilitation HA.0891 – N° SIRET 442 058 970 00017 – Code APA 930N
Tél. : 04 90 82 78 94 - E.mail : [email protected] - Site Web : http://cdavignon.online.fr
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