OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM
Appropriate Box(es) MUST BE COMPLETED
Bulldog Club of Greater Tulsa
Companion Dog School of Tulsa, Inc., 4411 South 91st E. Ave., Tulsa, OK
CLOSING DATE: Noon, Wednesday, August 17, 2011 at the office of the Show Secretary. ONLINE ENTRY FEES MUST BE PAID VIA PAYPAL. ONLINE ENTRY FORMS will be submitted directly to the BCGT Show Secretary, Peggy Cowan, 15 West Sixth St., Suite 2700, Tulsa, OK 74119. In submitting this electronic form I authorize BCGT to receive PayPal payment for entry fees.
BREED: BULLDOG
SEX:
SEX:DOG SHOW CLASS:
ADDITIONAL CLASSES:
FULL NAME OF DOG:
AKC REG. #DATE OF BIRTH:
DATE OF BIRTH: PLACE OF BIRTH:BREEDER(S):
SIRE:
DAM:
ACTUAL OWNER(S):
OWNER(S) ADDRESS:
NAME OF OWNER'S AGENT (IF ANY) AT THE SHOW:
I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry, I (we) agaree to abide by the rules and regulations of the American Kennel Club in effect at the time of this show and by any additional rules and regulations appearing in the premium list for this show and further agree to be bound by the "Agreement" printed on the reverse side of the entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and agreement.
SIGNATURE of owner or his agent duly authorized to make this entry:
/s/
Telephone (including area code):
Email Address:
Please make your selection from the drop-down window below.
Press "Add to Cart." You will be redirected to a PayPal screen.
Please return to this screen to submit your entry.
$2.00 PayPal fee per entry will apply.
Don't forget to return to PayPal for checkout. Your entry is not valid without payment.
PLEASE PRINT AND RETAIN THIS FORM FOR YOUR RECORDS.
Pressing "Submit" will forward your entries to the Show Secretary and will clear this screen.
