FORMULAR DE INSCRIERE ONLINE | ONLINE ENTRY FORM | ONLINE MELDUNG




 
Entry form in PDF format download from here:
buletin_inscriere_as_chinologica.pdf
  
 

Buletin de inscriere/Entry form/Meldeschein

 

  
 
Va rugam completati toate spatiile ! / Please complete all available spaces !
CACIB 09.10.2010   Club CCAR 09.10.2010   CACIB 10.10.2010
 
Rasa/Breed/Rasse:
 
Clasa/Class/Klasse:
 
 
Talia/Size/Grösse:
  
Parul/Hair/Haarart:
 
 
Culoarea/Colour/Farbe:
  Mascul/Male/Rüde   Femela/Bitch/Hündin
 
Numele câinelui/Name/Name des Hundes:
 
C.O./Pedigree/Zuchtbuch:
 
Data nasterii/Date of birth/Geworfen am:
 
Numele tatalui/Father/Vater:
 
Numele mamei/Mother/Mutter:
 
Crescator/Breeder/Zuchter:
 

Nume proprietar /Owner name/Eigentumer name:

Adresa proprietar/Owneraddress/Eigentumer Adresse:

 
Data/Date/Datum:  
 
Adresa E-mail/Email Adress/Email adresse:  
     
   
Termen de inscriere:
25.09.2010
     
 
Va multumim pentru completarea informatiilor. Thank you for completing the information.