This form must be postmarked
BULL TERRIER CLUB OF AMERICA, INC
BEFORE litter is born.
Futurity Bitch Nomination FormPLEASE PRINT CLEARLY
Futurity Year___________________________________________________________________
Name of Bitch_________________________________ AKC Reg. No.____________________
Owner or Lessee of Bitch_________________________ Phone (____)_____________________
Address______________________________________________________________________
Date of Breeding__________________________ Estimated Whelping Date__________________
Name of Sire__________________________________ AKC Reg. No.____________________
Owner of Sire__________________________________________________________________
Address______________________________________________________________________
Check Attached: $_____________
Nominator must be the breeder or co-breeder, and
(canceled check will be your receipt)
a member in good standing of the BTCA at both the
date of nomination and futurity judging.
Make checks payaable to BTCA
______________________________________
(Signature)
Fee of $20.00 for each Bitch Nomination must accompany Nomination
Form.
Mail all three forms with fee to Futurity Secretary, Alison Ibbitson,
Chk#_____ Amt.______
121 Pennapacker, Trappe, PA 19426
Postmarked____________
Processed_____________
COMPLETE THREE FORMS:
Accepted___Rejected____
(one will be held by Futurity Secretary, one will be returned to you
marked "Accepted" and one will be sent to the BTCA Treasurer)
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