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SEODGA - 5/7/05

ADGA Show Online Entry

 

Herdname:

Name:

Address:

City:

State:    Zip:

Phone Number:

E-mail Address:

You can enter a maximum of 10 does at one time.  If you have more than 10 does, please complete the first 10 and then return to enter the additional does.

DOE #1

 
DOB (mm/dd/yy):
Doe's Registered Name:
Registration Number: Tattoo (RE/LE):

 

DOE #2

 
DOB (mm/dd/yy):
Doe's Registered Name:
Registration Number: Tattoo (RE/LE):

 

DOE #3

 
DOB (mm/dd/yy):
Doe's Registered Name:
Registration Number: Tattoo (RE/LE):

 

DOE #4

 
DOB (mm/dd/yy):
Doe's Registered Name:
Registration Number: Tattoo (RE/LE):

 

DOE #5

 
DOB (mm/dd/yy):
Doe's Registered Name:
Registration Number: Tattoo (RE/LE):

 

DOE #6

 
DOB (mm/dd/yy):
Doe's Registered Name:
Registration Number: Tattoo (RE/LE):

 

DOE #7

 
DOB (mm/dd/yy):
Doe's Registered Name:
Registration Number: Tattoo (RE/LE):

 

DOE #8

 
DOB (mm/dd/yy):
Doe's Registered Name:
Registration Number: Tattoo (RE/LE):

 

DOE #9

 
DOB (mm/dd/yy):
Doe's Registered Name:
Registration Number: Tattoo (RE/LE):

 

DOE #10

 
DOB (mm/dd/yy):
Doe's Registered Name:
Registration Number: Tattoo (RE/LE):

 

SUMMARY

Number of Does entered in two rings: @ $5.00 each =
Number of Does entered in one ring:  @ $3.00 each =

TOTAL ENTRY FEES:                                                                 

Payment to be made by:         

   PayPal                           

                Make payments with PayPal - it's fast, free and secure!
                (To pay using PayPal, mark the appropriate button above and click on the PayPal logo.  A new window will open and you will automatically be taken to the PayPal site.   Be sure to return to this page and submit your entries.  Only non-credit card payments (debit card,  checking account, funds in a PayPal account, etc.)  can be accepted.)

    Check   
                 Checks, payable to SEODGA,  should be mail to:  
                 Jenny O'Connor 
                 840 Winchester Southern Road North
                Ashville, OH  43103

PAYMENT MUST BE RECEIVED BY APRIL 30, 2005 TO BE ELIGIBLE FOR REDUCED ENTRY FEES.

When information is complete, click submit to continue.
You will be taken to a confirmation page that can be printed for your records.  At the bottom of the confirmation page is a link to return to this form.

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