North American Wensleydale Sheep Association

Online Registration Form

  


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HELP

Breeder (owner of Dam at time of mating)

 
HELP

Owner (owner of Dam at time of lambing)


Breeders Prefix & PVT Farm Tag White or Colored Sex Type S,TW,TR,Q Birth Date MM/DD/YYYY Codon 171 Percentage AI, ET, or Natural Breeding SIRE Private ID SIRE NAWSA Registration No. Percentage DAM Private ID DAM NAWSA Registration No. Percentage Date Sold Transfered To: (To Whom Sold) First Name Transfered To: Last Name Transfered To: Breeder #
Transfered To: Address Transfered To: Town Transfered To: State Transfered To: Zip

NEW! Print this page for your records

North American Wensleydale Sheep Association

Please enter you first and last name, any special instructions, A VALID EMAIL ADDRESS, and your payment method. Then click on the Submit to accuRegister Button. You will then be taken to a payment section.

First Name (required)

Last Name (required)

Please Enter a Valid Email Address.

(If you do not enter this, your data will be lost when you submit the form.)

Email Address (required)

Phone

Organization (required)

Instructions

Payment Method (required)

Send accuRegister a check
Use KHSI Paypal (when you submit this form you will be directed to the PayPal page.)

Documentation: (if you need to send us a file, please use the buttons below.)

First Attachment Title

First Attachment

Second Attachment Title

Second Attachment

Please check the appropriate box:

Yes, I acknowledge that the above information is correct to the best of my knowledge and belief.
No, I do not know if this information is correct.

Signature

A typed signature below represents your authorization. Please remember to include a date.

Signature of Owner of Dam (time of lambing)

Date:

Please print a copy of this application before you submit it to accuRegister.

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