|
|  |  |
 |
 |  |  |  |
 | |
|
|
|
|
SEND TO: AWARDS APPLICATION Sue Richard 205 E. Dividsion Street Artesian, SD 57314 Due by January 20th, 2006 Owner's (and any co-owner's) Name:_________________________________________ Address:______________________________________________Phone:____________ Dog's Registered Name:___________________________________________________ (PRINT CLEARLY) Award Applying for:_______________________________________________________ Qualification for award:____________________________________________________ Breed title Earned:_______________________________________ Date Earned:_____ Breed title Earned:_______________________________________ Date Earned:_____ Breed title Earned:_______________________________________ Date Earned:_____ Breed title Earned:_______________________________________ Date Earned:_____ Breed title Earned:_______________________________________ Date Earned:_____ Breed title Earned:_______________________________________ Date Earned:_____ Did you handle the dog yourself to this/these title(s)? ________ Do you want the words ‘owner-handled’ to appear on the award? ________ Achievement Earned: _____________________________________Date Earned:_____ Achievement Earned: _____________________________________Date Earned:_____ Achievement Earned: _____________________________________Date Earned:_____ Achievement Earned: _____________________________________Date Earned:_____ Achievement Earned: _____________________________________Date Earned:_____ Achievement Earned: _____________________________________Date Earned:_____ Did you handle the dog yourself to this/these achievement(s)? ________ Do you want the words ‘owner-handled’ to appear on the award? _________ |
|
Sioux
Falls, SD 57101 |