The Cat Association of the NT (Inc.)
Affiliated with A.C.F. Inc.
THE SHOW MANAGER
GPO BOX 3870
DARWIN NT 0801
WEBSITE: www.clevelandcattery.com/CANT
OFFICIAL ENTRY FORM
Download, complete (use tab key to move to next field), print, sign and post to the above address, with payment
Entries may also be sent by email to: sandigem@hotmail.com
NAME:
PHONE:
ADDRESS:
POST CODE:
=
$
No. OF CATS @ $0.60 PER CAT X 3 No. of Rings
=
$
CAGE HIRE (Compulsory)*
No. OF CAGES @ $1.10 PER CAT
=
$
CURTAIN & BASE HIRE**
No. OF CAGES @ $2.20 PER CAT
=
$
DECORATED CAGE
No. OF CAGES @ $2.20 PER CAT
=
$
No. OF CATS @$
ENTRY FEES (PER CAT)
PER CAT X 3 No. of Rings
CANT MEMBERS:
1 cat: $9.90/ring; 2 cats: $7.70/cat/ring; 3+cats: $6.60/cat/ring
NT BRED
NON MEMBERS:
$15 00/cat/ring
Compulsory NT Bred pedigree exhibits
Refer Show Schedule for Theme
$ NIL
CATALOGUE
Complementary
TROPHY DONATION
All donations most welcome
$
RAFFLE TICKETS
($1.00 each OR 3 for $2.00)
$
$35.00/family -OR- $25.00/single
$
Details on Show Schedule
CANT MEMBERSHIP
*No charge is made for those who have sponsored cages or dam with litter.
TOTAL
$
**No charge is made for exhibitor supplied curtains.
PAYMENT CAN BE MADE BY:
ELECTRONIC FUNDS TRANSFER TO:
BANK ANZ
BSB 015-896
Account 498013318
OR:
On the day of the Show
DECLARATION
I HEREBY CERTIFY THAT THE PARTICULARS ON THE PRESCRIBED ENTRY FORM ARE CORRECT AND THAT I ENTER MY CAT/KITTEN
AT MY OWN RISK AND THAT I AM THE BONA FIDA OWNER OR LESSEE AND AGREE TO ABIDE BY THE SHOW RULES OF THE CAT
ASSOCIATION OF THE NORTHERN TERRITORY (INC). I ALSO CERTIFY THAT THE CAT/KITTEN HAS NOT BEEN IN A CATTERY
AFFECTED WITH AN INFECTIOUS DISEASE WITHIN THE LAST THIRTY DAYS AND HAS NOT BEEN ON PUBLIC DISPLAY OR EXHIBITED
WITH OTHER CATS WITHIN THE LAST TWELVE DAYS PRECEDING THE DATE OF THE SHOW. I ALSO CERTIFY THAT IF MY
CAT/KITTEN IS IN CONTACT WITH A CONTAGIOUS CONDITION AFTER MY SIGNING OF THIS FORM I WILL WITHDRAW THEM
FROM THE SHOW. I UNDERSTAND THAT THERE CAN BE NO REFUND OF ENTRY MONEYS.
SIGNATURE OF EXHIBITOR
(not required if sending electronically)
IF YOU ARE ABLE TO ASSIST AT THE SHOW
Mark ‘X’ as applicable
Updated March 2012
EXHIBITS NAME:
REG NO: (required for pedigrees only)
BREED:
OR SELECT FROM:
PART PEDIGREE
/DOMESTIC
/ HYBRID
LONGHAIR
/SHORTHAIR
COLOUR & PATTERN:
DATE OF BIRTH:
SEX:
ENTIRE
/DESEXED
(if known for non-pedigrees)
SIRE:
DAM:
BREEDER:
STATE:
EXHIBITOR:
ENTER IN RINGS (Mark ‘X’ as applicable)
1
2
3
PLEASE FILL ALL DETAILS IN FULL. INCLUDE ANY STATUS IN THE NAME OF THE EXHIBIT e.g. CH/PN
JUNIOR EXHIBITOR:
DECORATED CAGE:
YES
YES
/ NO
/ NO
DOUBLE CAGE:
CURTAIN HIRE:
YES
YES
/ NO
/ NO
NOTE: Domestic/Part Pedigree/hybrid exhibits do not need a registration number, sire, dam or breeder and date of birth may be
approximate if not known.
EXHIBITS NAME:
REG NO: (required for pedigrees only)
BREED:
OR SELECT FROM:
PART PEDIGREE
/DOMESTIC
/ HYBRID
LONGHAIR
/SHORTHAIR
COLOUR & PATTERN:
DATE OF BIRTH:
SEX:
ENTIRE
/DESEXED
(if known for non-pedigrees)
SIRE:
DAM:
BREEDER:
STATE:
EXHIBITOR:
ENTER IN RINGS (Mark ‘X’ as applicable)
1
2
3
PLEASE FILL ALL DETAILS IN FULL. INCLUDE ANY STATUS IN THE NAME OF THE EXHIBIT e.g. CH/PN
JUNIOR EXHIBITOR:
DECORATED CAGE:
YES
YES
/ NO
/ NO
DOUBLE CAGE:
CURTAIN HIRE:
YES
YES
/ NO
/ NO
NOTE: Domestic/Part Pedigree/hybrid exhibits do not need a registration number, sire, dam or breeder and date of birth may be
approximate if not known.
Updated March 2012
EXHIBITS NAME:
REG NO: (required for pedigrees only)
BREED:
OR SELECT FROM:
PART PEDIGREE
/DOMESTIC
/ HYBRID
LONGHAIR
/SHORTHAIR
COLOUR & PATTERN:
DATE OF BIRTH:
SEX:
ENTIRE
/DESEXED
(if known for non-pedigrees)
SIRE:
DAM:
BREEDER:
STATE:
EXHIBITOR:
ENTER IN RINGS (Mark ‘X’ as applicable)
1
2
3
PLEASE FILL ALL DETAILS IN FULL. INCLUDE ANY STATUS IN THE NAME OF THE EXHIBIT e.g. CH/PN
JUNIOR EXHIBITOR:
DECORATED CAGE:
YES
YES
/ NO
/ NO
DOUBLE CAGE:
CURTAIN HIRE:
YES
YES
/ NO
/ NO
NOTE: Domestic/Part Pedigree/hybrid exhibits do not need a registration number, sire, dam or breeder and date of birth may be
approximate if not known.
EXHIBITS NAME:
REG NO: (required for pedigrees only)
BREED:
OR SELECT FROM:
PART PEDIGREE
/DOMESTIC
/ HYBRID
LONGHAIR
/SHORTHAIR
COLOUR & PATTERN:
DATE OF BIRTH:
SEX:
ENTIRE
/DESEXED
(if known for non-pedigrees)
SIRE:
DAM:
BREEDER:
STATE:
EXHIBITOR:
ENTER IN RINGS (Mark ‘X’ as applicable)
1
2
3
PLEASE FILL ALL DETAILS IN FULL. INCLUDE ANY STATUS IN THE NAME OF THE EXHIBIT e.g. CH/PN
JUNIOR EXHIBITOR:
DECORATED CAGE:
YES
YES
/ NO
/ NO
DOUBLE CAGE:
CURTAIN HIRE::
YES
YES
/ NO
/ NO
NOTE: Domestic/Part Pedigree/hybrid exhibits do not need a registration number, sire, dam or breeder and date of birth may be
approximate if not known.
Updated March 2012