Online Futurity Renomination Form

AKITA CLUB OF AMERICA

Official Futurity/Maturity Renomination Form

ACA National Specialty

This page was last updated on 01/13/2008

Futurity Rules - Updated 4/10/06 - Please Read!

Puppy is Eligible For Year

Individual Puppy Renomination

Puppy renominated must be from a litter previously nominated by the breeder.

Nomination Fees -
Nominations for puppies under four (4) months of age - $20.00
Nominations for puppies over four months of age - $60.00
($20 Nomination fee + $40 late fee)

Name of Dam
Dam AKC Number
Date Litter Whelped
Owner/Lessee of Dam
Address
City, St, Zip
Name of Sire
Sire AKC Number
Name of Puppy*
Sex	Male Female
Litter Reg No
AKC Reg No.*
* Information must be received by the National Specialty Closing date.
Owner of Puppy
Address
City, State, Zip
Email
I certify that I am the actual owner of the dog whose name I have entered above. In consideration of the acceptance of this nomination, I agree to abide by the rules and regulations of the American Kennel Club in effect at the time of the show and by any additional rules and regulations regarding this Futurity Stakes event. By entering your name in the space below, you are signing this form and agreeing to the above statement.
Name (signature)
Email Address
Phone Number
Amount Due
Payment method	PayPal Check/Money Order

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