THE BOXER CLUB OF CANADA INC. APPLICATION FOR 2010 Sire or Dam of Merit PLAQUES RETURN BY: MARCH 30, 2011 to: Via Regular mail to: Kristi Wagg – (705-953-9078) R.R. #1. Oakwood, ON K0M 2M0 Send funds: Send cheques to: Paul Dulong 678 MacLaren Dr. Burlington, ON L7N 2Z2 Via E-mail to : awards@boxerclubofcanada.com Or Via PayPal or Interact Transfer to: pdd.bcc@cogeco.ca It is the responsibility of the BCC member to apply for any awards that they are eligible for and to make sure their request has been received by the Awards Statisticians. Each request will be acknowledged by e-mail / phone or regular mail. If you do not receive acknowledgement from the Awards Statistician(s) you must contact us by e-mail, phone or regular mail before the deadline. The Club presents 1 plaque for a new Champion to BCC Club members only If you are ordering a duplicate plaque for a co-owner please enclose a check in the amount of $14.00 (if you are picking it up at the Ontario Regional June 6th 2010 or $20.00 (if it is to be mailed to you) to cover the cost of the second plaque plus mailing charges. SOM or DOM must have been obtained in 2010. Sire must have 7 Champions Dam must have 4 Champions (Please send a photo of applicant to be included in the PowerPoint Awards Presentation.) Sire of Merit Name: Dam of Merit Name: Owner: Owner: Champion Progeny Champion Progeny Ch. Ch. Ch. Ch. Ch. Ch. Ch. Ch. Ch. Ch. Ch. Sire of Merit Name: Dam of Merit Name: Owner: Owner: Champion Progeny Ch. Ch. Ch. Ch. Ch. Ch. Ch. Champion Progeny Ch. Ch. Ch. Ch. If plaques are to be mailed please provide current address: ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________