Handler Info
Handler's Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
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Owner Info
Only complete if owner is different from handler
Owner's Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Dog Info
Title Entering for
BT
AS1
AS2
AS3
Independent Certification
If you selected "Independent Certification" above please list which (e.g. SW1, OB1)
Dog's Registered Name
Present Titles
Scorebook Number
Registration Number
Microchip Number
Date of Birth
Breed
Sex
Male
Female
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I acknowledge that my entry to this event is not secured until payment is received and that in the event that I pull from the event that I will not be refunded.
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My Products
prev
next
( X )
BT
$
80.00
AS1
$
100.00
AS2
$
100.00
AS3
$
100.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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