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ACFA
CONFIRMATION FORM
P.O.Box 1949, Nixa, MO.
65714-1949 Ph 417 - 725-1530
Fax: 417 - 725-1533 Email: acfa@aol.com
Championship and Houshold
Pet Titles are confirmed ONLY
upon completion * and Submission of this Form.
PLEASE PRINT:
| ACFA
REGISTERED NAME: |
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ACFA REGISTRATION NUMBER |
BIRTHDATE: |
SEX |
| Show
Date |
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Name of Club |
|
Entry No.
|
( If more space is needed, please
use reverse side, or attach an additional page )
* If all information is
not provided, this form will be returned to the owner for
completion.
OR check here ___ and ACFA Staff will complete form for a minimum
Research Charge of ONE HOUR.
| Breeder: |
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| Owner: |
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| Address: |
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| |
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| Phone/Email: |
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PLEASE CHECK
THE CONFIRMATION(S) YOU ARE REQUESTING (Fees Effective May 1, 2006 )
| CHAMPIONSHIP
CATS |
|
HOUSEHOLD
PETS |
 Champions
- $7 |
|
Grand
- $12> |
|
Royal-
$7 |
|
Double
Supreme - $0 |
| Double
CH - $0 |
|
Double
GR - $0 |
|
Double
Royal- $0 |
|
Triple
Supreme - $0 |
| Triple
CH - $0 |
|
Triple
GR - $0 |
|
Triple
Royal- $0 |
|
Quad
Supreme - $17 |
| Quad
CH - $0 |
|
Quad
GR - $17> |
|
Supreme-
$12 |
|
Roll
of Honor - $0 |
>Includes Certificate Suitable for Framing
Certificates suitable for
framing are available for each level of competition. ADDITIONAL
$5.00 each.
|
Please check level desired: |
Champions |
|
Quad
Champion |
|
Royal |
| |
Double
Champion |
|
Double
Grand |
|
Supreme |
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Triple
Champion |
|
Triple
Grand |
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