American Corriedale Association

Date*

Date

Association Member # (Jr. or Sr)

Name*

First NameLast Name

Email*

example@example.com

BREEDER CONTACT INFO

Breeder Contact*

OWNER CONTACT INFO

Owner Contact Info*

REGISTER SHEEP - This form is a replicate of the paper registration form. It is WIDE and SCROLLS to the RIGHT. (Filling out this on cell phones and Ipads, make sure to scroll through 11 boxes from left to right.) Use the slider below, or use your tab button to move through each required entry. (*Required)*

The information here is correct to the best of my knowledge and belief. These sheep are free of horns, black wool blindness and conform closely to the correct Corriedale type. Any lamb that has a solid pink or white nose and all white hooves is not eligible to register. I understand my registrations will not be completed until I make a Paypal payment. OWNER OF DAM AT TIME OF LAMBING MUST SIGN THIS APPLICATION.*

Signature of Owner of Dam *

Clear

Signature of Owner of Ram *

Clear

THIS FORM WILL NOT BE SUBMITTED TO ASA OFFICE UNTIL PAYMENT IS MADE THROUGH PAYPAL.

An increase for using Paypal is now 3.5% plus 0.50 cents per item and is applied to all online transactions. This is automatically included in all transactions.

On all Registrations & Transfers, choose between a No Rush Fee or Rushed Fee

A Rush Fee is double per registration & transfer

Continue Below

Select the item and quantity below

Registrations

Registration - ACA Member Rate$6.50

Under 1 year of age - Post marked Sept 1 - April 30

Rush Fee	Quantity	Price
No Rush		$6.50
Please Rush		$12.50

Item subtotal:$0.00

Registration - ACA Member Rate$8.00

Under 1 year of age - Postmarked May 1 - August 31

Rush Fee	Quantity	Price
No Rush		$8.00
Please Rush		$16.50

Item subtotal:$0.00

Registration - ACA Member Rate$12.50

Over 1 Year

Rush Fee	Quantity	Price
No Rush		$12.50
Please Rush		$24.50

Item subtotal:$0.00

Non-Member Registration$12.50

Under 1 year - Postmarked 9/1-4/30

Rush Fee	Quantity	Price
No Rush		$12.50
Please Rush		$24.50

Item subtotal:$0.00

Non-Member Registration$14.50

Under 1 year - Postmarked 5/1-8/31

Rush Fee	Quantity	Price
No Rush		$14.50
Please Rush		$28.50

Item subtotal:$0.00

Non-Member Registration $12.50

Over 1 year

Rush Fee	Quantity	Price
No Rush		$12.50
Please Rush		$24.50

Item subtotal:$0.00

Transfers

Transfers$6.50

Under 60 days

Rush Fee	Quantity	Price
No Rush		$6.50
Please Rush		$12.50

Item subtotal:$0.00

Transfers $12.50

Over 60 days

Rush Fee	Quantity	Price
No Rush		$12.50
Please Rush		$24.50

Item subtotal:$0.00

Duplicates

Duplicate Certificate$5.50

Quantity
Item subtotal:$0.00

Retag

Retag Fee$1.50

Quantity
Item subtotal:$0.00

Special Handling - UPS Overnight call office

USPS Overnight$26.50

2-3 day delivery

Quantity
Item subtotal:$0.00

USPS Priority Mail$10.80

4-5 day delivery

Quantity
Item subtotal:$0.00

Faxes

Emergency Faxes$3.50

Per Page -not including cover

Quantity
Item subtotal:$0.00

Subtotal $0.00Tax $0.00Total $0.00

AMERICAN CORRIEDALE ASSOCIATION