UDC Fall Classic 2017 Entry Form

2017 United Doberman Club National Fall Classic Entry Form

Entries Close September 22, 2017 at 5 pm EST
Entry fees can be mailed to:

Debbie Hartzell - 4255 Laurel Ridge Rd. Allison Park, PA 15101
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number*
E-mail*
Registered Name of Dog*
Call Name of Dog*
Dogs Current Titles
Sex of Dog*
Dog's Color*
Intact or Altered*
Date of Birth- mm/dd/yyyy*
Score Book Type
Score Book #
AKC Reg #
CKC #
Other Reg #
Tattoo# and or Microchip #*
Sire Name and Titles*
Dam Name and Titles*
Owner/Co-Owner*
Name of Handler
Handler Owner Trained*
UDC Fall Classic 2017 Entries
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UDC Fall Classic IPO Trial$50.00

IPO Trial Entry Type
Item subtotal:$0.00

Fall Classic Premium(Only check if you need a premium without an entry)$5.00

Quantity

Subtotal $0.00Tax $0.00Total $0.00
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2017 United Doberman Club National Fall Classic Entry Form