SEMEN COLLECTION RESERVATION FORM (Reservation deadline February 22, 2006)

DOG’s Name: ........................................................................................................................................................................

Breed:..................................................................................................AKC Registration Number..................................

Days entered in Cluster Thursday ................. Friday ................. Saturday ................. Sunday .................

Your Name .........................................................Phone # ............................................. Email ........................................

(After judging schedule is published, you’ll be contacted to schedule a collection time & informed of information you need to bring.)

Credit card number __________________________  Name on card________________________  Expiration date _________________

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SEMEN COLLECTION RESERVATION FORM (Reservation deadline February 22, 2006)

DOG’s Name: ........................................................................................................................................................................

Breed:..................................................................................................AKC Registration Number..................................

Days entered in Cluster Thursday ................. Friday ................. Saturday ................. Sunday .................

Your Name .........................................................Phone # ............................................. Email ........................................

(After judging schedule is published, you’ll be contacted to schedule a collection time & informed of information you need to bring.)

Credit card number __________________________  Name on card________________________  Expiration date _________________