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Sample Huber 09-26 T W Nat 2-27-87 508070 Wilson 50 96199A ...

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Important1. Type or Print Legibly2. Lambs are mature after 12 months3. Proper fees must accompany all work-------------------------------------------------Sr. Member #________________________Jr. Member #________________________Non-Member #_____________________American Hampshire Sheep AssociationREGISTRATION APPLICATIONPhone: 641-942-6402 • 15603 173rd Ave - Milo, Iowa <strong>50</strong>166 • Fax: 641-942-6<strong>50</strong>2Breeder(Owner of Dam at Time of Mating)____________________________________________________________________________AddressSt. or Rt.________________________________________City_________________________ST_______Zip_____________Owner(Owner of Dam at Time of Birth)______________________________________________________________________________AddressSt. or Rt.________________________________________City_________________________ST_______Zip_____________EWELeave BlankFor OfficeUse Only1Name of AnimalPrivate Flock Tag orTatoo Number2BirthTypeSg, Tw, Tr3BreedingType<strong>Nat</strong>, AI, ET4BirthdateRegistrationNumber5 - SireNamePrivate Flock TagRegistrationNumber6 - DamNamePrivate Flock Tag<strong>Sample</strong> <strong>Huber</strong> <strong>09</strong>-<strong>26</strong> T W <strong>Nat</strong> 2-<strong>27</strong>-<strong>87</strong> <strong><strong>50</strong>8070</strong> <strong>Wilson</strong> <strong>50</strong> <strong>96199A</strong> <strong>Huber</strong> 85-23Date of Sale7 - TransferIf sold, To Whom& Address(enclose transfer fee)ATTENTION• Please sign as Dam or SireOwner or Both• Please Check Workfor Accuracy.• After Completion, Please Keepa Copy of this Form in Your FileDate_________________________Daytime Phone_______________________________Evening Phone_______________________________Fax Number__________________________________E-Mail_______________________________________Signature of Owner of Dam (time of lambing)_____________________________________________________Signature of Owner of Ram (time of mating)______________________________________________________Applications completed by partnership must also bear signature of a person authorized to sign for account.Signature above represents:“The information here is correct to the best of my knowledge and belief”Updated 11-1-<strong>09</strong>


Important1. Type or Print Legibly2. Lambs are mature after 12 months3. Proper fees must accompany all work-------------------------------------------------Sr. Member #________________________Jr. Member #________________________Non-Member #_____________________American Hampshire Sheep AssociationREGISTRATION APPLICATIONPhone: 641-942-6402 • 15603 173rd Ave - Milo, Iowa <strong>50</strong>166 • Fax: 641-942-6<strong>50</strong>2Breeder(Owner of Dam at Time of Mating)____________________________________________________________________________AddressSt. or Rt.________________________________________City_________________________ST_______Zip_____________Owner(Owner of Dam at Time of Birth)______________________________________________________________________________AddressSt. or Rt.________________________________________City_________________________ST_______Zip_____________RAMLeave BlankFor OfficeUse Only1Name of AnimalPrivate Flock Tag orTatoo Number2BirthTypeSg, Tw, Tr3BreedingType<strong>Nat</strong>, AI, ET4BirthdateRegistrationNumber5 - SireNamePrivate Flock TagRegistrationNumber6 - DamNamePrivate Flock Tag<strong>Sample</strong> <strong>Huber</strong> <strong>09</strong>-<strong>26</strong> T W <strong>Nat</strong> 2-<strong>27</strong>-<strong>87</strong> <strong><strong>50</strong>8070</strong> <strong>Wilson</strong> <strong>50</strong> <strong>96199A</strong> <strong>Huber</strong> 85-23Date of Sale7 - TransferIf sold, To Whom& Address(enclose transfer fee)ATTENTION• Please sign as Dam or SireOwner or Both• Please Check Workfor Accuracy.• After Completion, Please Keepa Copy of this Form in Your FileDate_________________________Daytime Phone_______________________________Evening Phone_______________________________Fax Number__________________________________E-Mail_______________________________________Signature of Owner of Dam (time of lambing)_____________________________________________________Signature of Owner of Ram (time of mating)______________________________________________________Applications completed by partnership must also bear signature of a person authorized to sign for account.Signature above represents:“The information here is correct to the best of my knowledge and belief”Updated 11-1-<strong>09</strong>

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