ENTRY FORM OF ANNUAL BOXER SHOW 30.8.2014 OTĚŠICE U MERKLÍNA Deadline is the date by which the organizer must receive the annual Deadline of entry form: I. 28.7.2014 II. 22.8.2014 Entry form (with attached proof of payment of entry fees) sends you to deadline by post to adress:: Karbanová Markéta Americká 74, 34561 Staňkov, CZ or by E–mail: wini.cz@seznam.cz Select: SEX: male COLOUR: golden female striped white Class: baby puppy junior intermediate *working *champion *honor veteran open *A copy of the recognized Champion title and working certificate Name of the dog and kennel:……………………………………………………………… Pedigree No.:…………………………………….. Birthdate:………………………………. Sire:…………………………………………………………………………………………… Dam:……………………………………………….………………………………………… Breeder (first name, surname):……………………………………………………………… Owner (first name, surname):………………………………………………………………… Owners adress:………………………………………………………………………………… Telephone:………………………………… E-mail:………………………………………. The owner declares that corresponds to the full extent of damage caused by their dog / bitch, agree to the publication of information in the catalog of the exhibition. Owner agrees to pay the exhibition fees. I declare that all information given above is true. I undertake to observe the provisions of the Show Regulations BK CR and propositions for the exhibition. Date:………………………….. Signature:……………………………………