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Application for Registration

Animal Information

Registry No.:
(for office use only)

DHI Herd No.:

First Choice Name:

Second Choice Name:

Tattoo Right Ear:

Tattoo Left Ear:

Ear Tag No.:

Sex of Animal:

Female
Male

Animal's Date of Birth (mm/dd/yy):

Other Information:

Twin With Bull
Twin With Heifer
Naturally Polled

Sire Registration Number:

Sire Name:

Dam Registration Number:

Dam Name:

Service Data

Service Data:

A.I. ................ Breeding Date:
ET..................... Implant Date:
Natural Service ... Breed Date: From to

Owner Information

Customer Number:

First Owner
(owner of dam at time of calving):

Street Address:

City:

State:

Zip:

Country:

E-Mail Address:(must be entered)

Transfer Information (For use at time of registration only)

Name:

Street Address:

City:

State:

Zip:

Country:

Owner Number:

Date of Sale:

In making this application, I hereby subject myself to all the provisions of the Constitution and By-Laws of the Ayrshire Breeders' Association as they now exist or may from time to time be amended. I agree to all terms and conditions in this publication. I guarantee that all matters slated herein are true. In addition, I agree that all records on the animals in my herd, whether maintained by me or by others, including production records may be obtained and used by this association in its programs. I also certify that I assume full responsibility for accuracy of the breeding information provided on this application, and for the affixed photo or sketch on certificate when received.

For information about the registration application, please e-mail the Ayrshire Breeders' Association. The office will send an e-mail confirmation of your registration.

 

All Rights Reserved 2002 Ayrshire Breeders Association
1224 Alton Creek Rd, Suite B, Columbus, OH 43228
Phone: 614-335-0020 FAX: 614-335-0023 E-mail:
info@usayrshire.com