Name of the dog:

NHSB-LOSH-LOF-Pedigree Nr:

Date of birth:

Sexe:

Sire:

Dame:

Breeder:

Dog entered in:
(Please notice the dog's age at the day off the judging)

Owner:

Address:

zipcode and city:

Phone:

Emailaddress:

Entryform A.M.C.N.

Exhibit with CAC
Alaska Malamute Club Nederland
"Clubwinner 2010"
 Saterday may 1 2010

Place: Dogcenter, Jan Stuversdreef 5, 5315 NZ, Kerkwijk.
Please use your dogs pedigree while filling in this form.
Judges: Nancy Russell USA (Male) and Larry Krause USA (Female)
Please notice closing date: april 4 2010.

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Conditions

• Exhibitor states that, insofar he/she knows, by him/her registered dog(s) during the last gone period of 12 weeks has not found them in circumstances, as a result of which danger for contagion, dog sickness or other sickness with contagious character in particular can be feared
• Exhibitor states that he/she submits themselves by sending in this form, to the provisions of the statutes and of the regulation of the Raad van Beheer op Kynologisch Gebied in Nederland and of the Exhibition and obliges itself satisfy the entryfee .
• The entryfee must be transferred simultaneously on 114131732 t.n.v AMCN te Zaandam , IBAN nr NL 85 RABO 0114131732 (BIC-RABONL2U) under indication of Kampioenschapsclubmatch with thereby pedigree number(s).

This entryform is sent to:
Alaska Malamute Nederland
p/a Wendy Greutink
't Schoor 8
9145 CD  Ternaard

I have read the conditions and agree with them

Entryfee

• Copy of proof is required to enter class 7 and 8
• Dogs entered in class 9 or 10 are required to enter in another class also