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Columbia Sheep Breeders' Association
Registration Application PO Box 722 - Lakefield, MN 56150 - Phone 507-662-5005 or 507-360-2160—Fax 507-662-5105
email: charliew@extendedag.com
Breeder
(Owner of dam at time of mating)
Address
Owner
(Owner of dam at time of birth)
Address
Assn Number
(Office Use)
Flock # Sex Type of
Birth
Date of
Birth
Sire Assn
Number
Sire Breeder
&
Flock # (Opt)
Dam Assn
Number
Dam
Breeder&
Flock # (Opt)
Transfer Date Sold to & Address
Signature of Owner of Dam (time of lambing)
Signature of Owner of Ram (time of mating)
*If inspected—Signature of Inspector & Date
Date
Please complete a work order to
submit with this application!!!
Columbia Sheep Breeders
Association of America Work Order and Fee Schedule
Registry Office
PO Box 722, Lakefield, MN 56150
Phone # - 507-360-2160 FAX # - 507-662-5105 Email -charliew@extendedag.com
Date
Name
Address
City, State, Zip
Phone # Fax # Email
Check type of membership: New member appl.
Senior Member
Junior Member
Non-member appl
Fee Schedule
Number
Fee s
Amount
Memberships
Annual Senior Member Dues $ 50
New Senior Member Dues $ 20
Annual Junior Member Dues $ 15
New Junior Member Dues $ 10
Registrations
Animal Under 24 months old – member $ 5 $ 15.00
Animals Over 24 months old - member $ 6
Animals Under 24 months old – non member
$ 15
Animals Over 24 months old – non member $ 18 $ 18.00
$
15.00
Transfers
Under 60 days since date of sale – member $ 5 $ 15.00
Over 60 days since date of sale - member $ 7 $ 21.00
Under 60 days since date of sale – non member $ 15
Over 60 days since the date of sale – non member $ 21
Other Fees
Duplicate Certificates $ 3 $ 6.00
Name Christening $10 or $25
mailto:-charliew@extendedag.com
Rush fees are double the price of regular fees
Special handling fees - TBD
Grand Total – Balance Due
Credit Balance
Total Money Enclosed
Make check payable to All-American Registry
*Orders without proper fees will not be mailed until paid in full. **All checks returned for non-sufficient funds will be charges a $25 fee.
Name: Address: Phone: Fax: Email: MembershipsRow1: 0 MembershipsRow2: 0 MembershipsRow3: 0 MembershipsRow4: 0 RegistrationsRow1: 0 RegistrationsRow2: 0 RegistrationsRow3: 0 RegistrationsRow4: 0 TransfersRow1: 0 TransfersRow2: 0 TransfersRow3: 0 TransfersRow4: 0 Rush fees are double the price of regular fees: 0 Special handling fees TBD: 0 CitySTateZip: (1 for $10 or 3 for $25): (1 for $10 or 3 for $25) NewMember: Off SeniorMember: Off JuniorMember: Off NonMember: Off AnnualSeniorMemberDues: 0 NewSeniorMemberDues: 0 AnnualJuniorMemberDues: 0 NewJuniorMemberDues: 0 DuplicateCertificates: 0 Transferover60nonmember: 0 Transferunder60nonmember: 0 Over60transfermember: 0 Under60transfermember: 0 Over24nonmember: 0 Under24nonmember: 0 Over24member: 0 Under24member: 0 Text6: $5 Junior Member Dues Naming: 0 Duplicates: 0 Text8: $ 5 MembershipsRow5: 0 JuniorDues: 0 Grandtotal: 0 Credit: Enclosed: 0 Submit: Flock Row5: Flock Row4: Flock Row3: Flock Row2: Flock Row1: Date of BirthRow2: Date of BirthRow1: Sire Assn NumberRow1: Date of BirthRow3: Dam Breeder Flock OptRow5: Dam Assn NumberRow5: Sire Breeder Flock OptRow5: Sire Assn NumberRow5: Date of BirthRow5: Dam Breeder Flock OptRow4: Dam Assn NumberRow4: Sire Breeder Flock OptRow4: Sire Assn NumberRow4: Date of BirthRow4: Dam Assn NumberRow3: Sire Breeder Flock OptRow3: Sire Assn NumberRow3: Dam Assn NumberRow2: Sire Breeder Flock OptRow2: Sire Assn NumberRow2: Sire Breeder Flock OptRow1: Dam Assn NumberRow1: Sold to AddressRow5: Transfer DateRow5: Sold to AddressRow4: Transfer DateRow4: Sold to AddressRow3: Transfer DateRow3: Dam Breeder Flock OptRow3: Transfer DateRow2: Dam Breeder Flock OptRow2: Transfer DateRow1: Dam Breeder Flock OptRow1: Sold to AddressRow2: Sold to AddressRow1: Flock Row6: Date of BirthRow6: Sire Assn NumberRow6: Flock Row7: Date of BirthRow7: Flock Row8: Date of BirthRow8: Flock Row9: Date of BirthRow9: Sire Assn NumberRow9: Sire Assn NumberRow8: Sire Assn NumberRow7: Sire Breeder Flock OptRow6: Dam Assn NumberRow6: Dam Breeder Flock OptRow6: Transfer DateRow6: Sold to AddressRow6: Sire Breeder Flock OptRow7: Dam Assn NumberRow7: Dam Breeder Flock OptRow7: Transfer DateRow7: Sold to AddressRow7: Sire Breeder Flock OptRow8: Dam Assn NumberRow8: Dam Breeder Flock OptRow8: Transfer DateRow8: Sold to AddressRow8: Sire Breeder Flock OptRow9: Dam Assn NumberRow9: Dam Breeder Flock OptRow9: Transfer DateRow9: Sold to AddressRow9: Breeder: AddressBreeder: Owner: AddressOwner: Date: Signature of Dam: Signature of Ram: Signature of Inspecter: Sex1: [e] Payment type: Payment Type Check: I will send a check (Paperwork will be mailed once check is received) Paypal: Bill me via PayPal (Paperwork will be mailed once payment is received) Send check: Off Bill Paypal: Off Sex2: [e] Sex3: [e] Sex4: [e] Sex5: [e] Sex6: [e] Sex7: [e] Sex8: [e] Sex9: [e] TOB1: [s] TOB2: [s] TOB3: [s] TOB4: [s] TOB5: [s] TOB6: [s] TOB7: [s] TOB8: [s] TOB9: [s]