NAEDA Puppy Nomination

NAEDA Futurity Puppy Nomination

National American Eskimo Association - UKC
Nomination of a puppy must be made by the breeder, owner or co-owner of the puppy. To be timely, the puppy nomination must be made before the puppy reaches 4 months of age. The fee is $10.00 per puppy.
Litter Number*
The Futurity Litter Number is generated from the Litter Nomination by the Futurity Chairperson
Litter Fees
prevnext( X )
Puppy Nomination$10.00
per puppy

Quantity

Updating my information only$ Free

Total $0.00
Payment Method*

PayPal (There is a 5% surcharge for PayPal fees charged to the NAEDA)Mail Check
Amount Due
Submitting Date

MonthDayYear
Date
Submitter is*

OwnerCo-OwnerBreeder
Actual Whelp Date*

MonthDayYear
Date
Breeder's Name*

First NameLast Name
Breeder's Phone

Area CodePhone Number
Breeder's Email*
Breeder's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Puppy 1
Owner Puppy 1

First NameLast Name
Co-Owner Puppy 1

First NameLast Name
Puppy 1 UKC #
Puppy 1 Sex

MaleFemale
Puppy 1 Registered Name
Puppy 2
Puppy 2 UKC #
Puppy 2 Sex

MaleFemale
Puppy 2 Registered Name
Puppy 3
Puppy 3 UKC #
Puppy 3 Sex

MaleFemale
Puppy 3 Registered Name
Puppy 4
Puppy 4 UKC #
Puppy 4 Sex

MaleFemale
Puppy 4 Registered Name
Puppy 5
Puppy 5 UKC #
Puppy 5 Sex

MaleFemale
Puppy 5 Registered Name
Individual Registration Papers for Each Puppy

Browse Files
Upload registration papers for each puppy. Use ctrl key to select multiple files Cancelof
Payment Instructions

Click Here for CreditCard or PayPal

or

Mail Check to : Susan Bovee, Futurity Chairperson
3564 3 1/2 Mile Rd
Athens, MI 49011

Make Checks Payable to “The N.A.E.D.A.”
Comments / Questions
By signing this application, I hereby certify that the above information is correct, the above dog/bitch is eligible for the Futurity, and I have read and agree to abide by the Futurity rules and regulations.

I understand that NAEDA reserves the right to deny any application, as well as correct.
Signature

Clear
Please verify that you are human*
After recording the nomination and recieving payment, the Futurity Charairperson will issue each puppy a Futurity Puppy Number.

The Futurity Puppy Number(s) will be returned to you via email as your receipt and acknowledgment. This number should be placed in the space indicated on the Puppy Futurity Entry Form for Nationals.

Futurity Chairperson: Susan Bovee
Cell: 517-677-6264
Email: Susanbovee65@gmail.com

To be completed by Futurity Chairperson
Date of Receipt

MonthDayYear
Date
Date of Return

MonthDayYear
Date
Amount Received
Puppy 1 Nomination Number
To Be completed by Futurity Chairperson
Puppy 2 Nomination Number
To Be completed by Futurity Chairperson
Puppy 3 Nomination Number
To Be completed by Futurity Chairperson
Puppy 4 Nomination Number
To Be completed by Futurity Chairperson
Should be Empty:

NAEDA Futurity Puppy Nomination

Puppy 1

Puppy 2

Puppy 3

Puppy 4

Puppy 5