USSA Application for Registration

UNITED SUFFOLK SHEEP ASSOCIATION
Application for Registration

Use ONLY for Suffolks Being Registered for the First Time.
Rush Order?*
Date Needed:
Special Instructions or message to USSA Office about this registry work.
My membership dues are paid.USSA Membership RenewalUJSSA Membership RenewalProcess registrations as a non-member.
Payments

Registrations can be paid by credit card (please call 641.684.5291), check or Paypal. A link to pay via PayPal can be found on the USSA's homepage - www.suffolks.org. Click here to view/download fee sheet.
Use Credit Card on File (convenience fee; $1 for transactions less than $35 and 3% for transactions over $35)PayPal Payment (go to www.suffolks.org, top right-hand corner "pay online")Check SentOther
Breeder

First NameLast Name
Street Address

CityState

Zip Code
Area CodePhone Number
E-mail
Is Owner same as the Breeder?
If yes, owner info can be left blank.
Owner

First NameLast Name
Street Address

CityState

Zip Code
Area CodePhone Number
Private Flock Name
Breeding Certificate

If the individual submitting this application is NOT the owner of the service sire at the time of breeding, a breeding certificate is required. A breeding certificate can be downloaded, completed and uploaded to this page OR the recorded owner of the service sire at the time of breeding should contact the USSA Office by phone or email before registry work will be processed.
Recorded Owner of Service Sire

First NameLast Name
Upload Breeding Certificate

Upload a File

Cancelof
Application Form Instructions:
- Required Fields: Flock Name, Date of Birth, Birth Type, Sire Flock Name & Registration Number and Dam Flock Name and Registration Number.
- Multiple sires can be listed on this application.
- Rams and ewes can be registered together on the same form.

Application for Registration

Rows	Ram/Ewe	Flock Number (correct-123 incorrect-smith 123)	Scrapie Tag	Scrapie (RR/QR/QQ)	Spider (NN/NS)	Date of Birth (mm/dd/yy)	Birth Type (S/TW/TR/Q)	AI (x if yes)	Sire Flock Name & Number	Sire Registration Number	Dam Flock Name & Number	Dam Registration Number	Sale Date (mm/dd/yy)	Exact Name & Address of Purchaser
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Submitted By*

First NameLast Name
Email Address
Area CodePhone Number
***Once this application is submitted, a copy of the information you have provided will be emailed to the email address provided above.***
For any questions please contact the USSA Office - info@suffolks.org or 641.684.5291.

USSA Website: www.suffolks.org
Should be Empty:

UNITED SUFFOLK SHEEP ASSOCIATION

Application for Registration