SBTCA Top Twenty Entry

Staffordshire Bull Terrier Club of America Inc.
Puppy Litter Nomination
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Puppy Information

To nominate your puppy(s) after they are whelped but before 4 months of age
1. Nomination must be made by the legal owner or co-owner of the puppy as of the date of nomination.
2. Nomination must be made on or before four (4) months of age. PayPal Transaction date or the postmark on the envelope is the official date of nomination.
3. The fee is $25.00 for each puppy nominated. There will be no refunds. Late nominations will be accepted up to 30 days for an additional fee of $25.00.
4. An entire litter may be individually nominated by the breeder before puppies are sold by paying the fee for each puppy and supplying whelping date, name, sex, and color for each puppy. If neither litter registration number of individual registration number is available at the time of nomination, this must be supplied as soon as available and in no case later than nine weeks before the Futurity judging.
5. Any changes in the identifying information which will be included in the Catalog must be received by the Futurity Director six (6) weeks prior to Futurity Judging. Failure to provide such information will result in disqualification.
Puppy AKC Registration #*
Must be supplied as soon as possible no later than 3 weeks prior to judging
Puppy AKC Registration Name*
Must be supplied as soon as possible no later than 3 weeks prior to judging
Date Of Birth*

MonthDayYear
Date
DogBitch
Sire AKC Registration Name*
Dam AKC Registration Name*
Name of Breeder(s):*
At least one breeder of litter must be a member in good standing with SBTCA
Name of Owner under whom Puppy will be entered in catalogue*
At least one owner of puppy must be a member in good standing with SBTCA
E-signature of Owner/Agent*
Type Name
Comments
Payment Information
PayPal - PayPal to treasurer@sbtca.com

Check - Please make check payable to the Staffordshire Bull Terrier Club of America; SBTCA and send to:

SBTCA Treasurer

Post Office Box 1174
Carson, WA 98610
Should be Empty:

Staffordshire Bull Terrier Club of America Inc.

Puppy Information

Payment Information