DOBERMAN PINSCHER CLUB OF AMERICA INC.
DOBERMAN PINSCHER CLUB OF AMERICA INC.
Futurity - Bitch Nomination Form
Please Print
Plainly
Futurity Year______________________________
Date____________________
Name of Bitch____________________________________________ AKC No. _________________ Date of Birth _________________
Owner or Lessee of
Bitch__________________________________ Phone
(____)_________________
Must be by breeder, or a co-breeder, who is a member of the
DPCA in good standing at the time of nomination.
Address_______________________________________________________________________________
Date of Breeding_____________________ Estimated Whelping Date___________________________
Name of Sire_____________________________________________ Date of Birth _________________
Owner of Sire__________________________________________________________________________
Address_______________________________________________________________________________
Check Attached: $________________
E-Mail Address:
_________________________
IMPORTANT NOTICE:
All breedings to be acceptable for Futurity nomination
MUST conform to the Code of Ethics set forth by the
Doberman
Pinscher Club of America
Inc.
Enclosed $_________ Make
checks payable to
DPCA
[Payable in US
Dollars Only, Cancelled Check Will Be Your
Receipt]
_____________________________________________
Signature
Fee of $15.00 for each Bitch Nomination
must accompany Nomination Form. Mail the above form with fee to Futurity
Chairman:
Diane Simmons 2631 Riding Ring Road
Norco, CA 92860-2531 (951) 737-6978 E-Mail:
dksimmons1@aol.com
Print THREE Forms:
Copy 1 - will be held by Futurity Chairman
Copy 2 - will be sent to you marked "Accepted" when in order
Copy 3 - will be held by you for your records
NOTE: Bitch nomination forms must be
postmarked before whelping date. (see Futurity Stakes Rules)
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Rev. 03/2006