American Belgian Blue Breeders, Inc

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American Belgian Blue Breeders, Inc.
American Belgian Blue Breeders, Inc.
Multiple Registration Application
P.O. Box 633404
Nacogdoches, TX 75963
Required fields are indicated by an asterisk (*)
Type in the information on the application. In the sections that have several options either highlight or underline the correct option.
After completing the application save the copy to your computer and email the application to the office at [email protected]
Registrations will not be completed until payment is received.
Member Number:
Herd Prefix:
*First Name:
*Last Name:
*Address:
*City:
*State:
*Phone
e-mail:
Animal 1
*Zip
Rush registration
*Name:
ET
Not ET
Yes No (additional fee below)
%Belgian:
*DOB:
Birth Weight:
Color: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
(for color definitions see below)
Sex:
Bull
Twin: Yes No
(please circle one)
*RE Tattoo:
*LE Tattoo:
Calving Ease:
Horned:
Horned
Polled Scurred
Natural
Blood Case#:
Some assistance
Lab Name:
ImmGen
Cow
Steer
* DNA Kit: Yes No
Mechanical assistance
Canadian
Belgian
Sire Name/Breed:
Reg #:
%Belgian
Circle One:
ABBB BBBI
Canadian
Belgian
No Registration#
Dam Name/Breed:
Reg #:
Transfer On Entry
C-section
%Belgian
Circle One:
ABBB BBBI
Canadian
Belgian
No Registration#
Name:
Address:
Member#:
*City:
*State:
Animal 2
Rush registration
*Name:
ET
Not ET
*Zip
Yes No (additional fee below)
%Belgian:
*DOB:
Birth Weight:
Color: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
(for color definitions see below)
Sex:
Bull
Cow
Twin: Yes No
(please circle one)
*RE Tattoo:
*LE Tattoo:
Calving Ease:
Horned:
Horned
Polled Scurred
Blood Case#:
Natural
Some assistance
Lab Name:
ImmGen
Steer
*DNA Kit: Yes No
Mechanical assistance
Canadian
Sire Name/Breed:
Reg #:
Circle One:
ABBB BBBI
Canadian
Belgian
No Registration#
%Belgian
Circle One:
ABBB BBBI
Canadian
Belgian
No Registration#
Name:
Address:
*City:
Belgian
%Belgian
Dam Name/Breed:
Reg #:
Transfer On Entry
C-section
Member#:
*State:
*Zip
Animal 3
Rush registration
*Name:
ET
Not ET
%Belgian:
*DOB:
Birth Weight:
Color: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
(for color definitions see below)
Sex:
Bull
Cow
Twin: Yes No
(please circle one)
*RE Tattoo:
*LE Tattoo:
Calving Ease:
Horned:
Horned
Polled Scurred
Blood Case#:
Yes No (additional fee below)
Natural
Steer
*DNA Kit: Yes No
Some assistance
Lab Name:
ImmGen
Mechanical assistance
Canadian
Sire Name/Breed:
Reg #:
Belgian
%Belgian
Circle One:
ABBB BBBI
Canadian
Belgian
No Registration#
Dam Name/Breed:
Reg #:
Transfer On Entry
C-section
%Belgian
Circle One:
ABBB BBBI
Canadian
Belgian
No Registration#
Name:
Address:
Member#:
*City:
*State:
*Zip
I hereby certify that this is a true and correct statement, and I desire to have same recorded in the ABBB Herdbook. In consideration of
which I agree to abide and be bound by the Articles of Incorporation, Bylaws, Rules and Regulations of the Association and
amendments thereto. This performance information may be used for ABBB breed improvement programs.
Signed:
Date:
Please choose your payment method (highlight or underline):
Color Codes
1=Black
2=Black Roan
3=Black/White
4=Black/White Face
ET = Embryo Transfer
5=Blue
6=Blue Roan
7=Blue/White
8=Brown/White
PayPal
Check
9=Red
10=Red Roan
11=Red/White
12=Roan
13=White
14=White/Black
15=White/Blue
Registration Fees
Registration of Fullbloods and Purebreds (for Members, Associate Members fee X2)
*DNA Kit are required for Fullbloods and Purebreds – all other percentage is optional
Registration of Percentage grading-up (50% to Purebred)
Certification of Percentage (up to 50%)
Certification of Steers
Miscellaneous Fees
Duplicate Corrected / Additional Certificates
Animal transfer of Ownership
Embryo Transfer of Ownership
Listing of Foreign Registered Animal in ABBB Herdbook
Entering Foreign Bloodtype or DNA Genotype at UC Davis
$25.00
$40.00
$15.00
$15.00
$15.00
$10.00
$10.00
$10.00
$10.00
$10.00
Rush Charges for any paper work in addition to regular fees
$30.00
Your registration application will be processed and blood kit will be mailed as soon as full payment is received. Fees are
subject to error and change without notice. Contact us for details.
Please send completed Registration Form and Payment to:
American Belgian Blue Breeders, Inc.
P.O. Box 633404
Nacogdoches, TX 75963
For more info: Telephone & Fax 936.652.25501 | www.belgianblue.org | [email protected]
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