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MSCA Foundation Stock Litter Application
Sire’s Breed :_____________________
Dams’s Breed :___________________
Sire:
Sire Registration Number:
Sire Owners, full address and phone number:
Name:
I the Sire owner certify that the Dam listed below
was mated to my Sire and he was owned by me
at the time of mating.
Address:
____________________________________
Sire Owner’s Signature
Phone #:
Dam:
Dam Registration Number:
Dam Owners, full address and phone number:
Name:
I the Dam owner certify that the Sire listed above
was mated to my Dam and she was owned by me
at the time of mating.
Address:
Phone #:
____________________________________
Dam Owner’s Signature
Litter Date of Birth: ____/____/_____ Number of living males: ____ Number of living females: ____
TOTAL FEES: $20.00
Mail application and fees to MSCA, 4379 1900 Rd., Delta, CO 81416.
MSCA has the right to refuse any and all registration applications. Processing fees are nonrefundable and all fees are subject to
change without notice.
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