| Norwegian Elkhound Association of America |
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| Norwegian Elkhound Association of America |
NORWEGIAN ELKHOUND ASSOCIATION OF AMERICA, INC.
FUTURITY/MATURITY STAKE INDIVIDUAL PUPPY NOMINATION FORM
| Date of birth: | Sex: | Number assigned by Futurity Chairperson, if none yet, put "Pending": | |
| Dam: | AKC# | ||
| Sire: | AKC# | ||
| Breeder(s): | Owner(s): | ||
| Breeder Information: | Owner Contact Information. List the address of owner of record that will be the primary contact. | ||
| Address: | Address: | ||
| City: | City: | ||
| State: | State: | ||
| Zip: | Zip: | ||
| E-Mail: | E-Mail: | ||
| Phone: | Phone: | ||
| I hereby nominate the above puppy for the next Futurity/Maturity Stake. I am a member in good standing with the NEAA. Signature: |
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| Fee: $20 (age 0 up to 3 months), $40 (age 3 months up to 4 months), or $60 (age 4 months up to 5 months) | |||
| Return form to: Marlene Schlichtig, NEAA Futurity/Maturity Chairperson 9403 Van Buren Street Seabrook, MD 20706 ph: 301-577-4786 wilmarne@verizon.net |
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| Check # | Date: | ||