columbia sheep breeders' association registration ... ... columbia sheep breeders' association...

Download Columbia Sheep Breeders' Association Registration ... ... Columbia Sheep Breeders' Association Registration

If you can't read please download the document

Post on 18-Jun-2020




0 download

Embed Size (px)


  • Columbia Sheep Breeders' Association

    Registration Application PO Box 722 - Lakefield, MN 56150 - Phone 507-662-5005 or 507-360-2160—Fax 507-662-5105



    (Owner of dam at time of mating)



    (Owner of dam at time of birth)


    Assn Number

    (Office Use)

    Flock # Sex Type of


    Date of


    Sire Assn


    Sire Breeder


    Flock # (Opt)

    Dam Assn




    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


    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




    City, State, Zip

    Phone # Fax # Email

    Check type of membership: New member appl.

    Senior Member

    Junior Member

    Non-member appl

    Fee Schedule


    Fee s



    Annual Senior Member Dues $ 50

    New Senior Member Dues $ 20

    Annual Junior Member Dues $ 15

    New Junior Member Dues $ 10


    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




    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

  • 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]


View more >