OFFICIALSHOW ENTRY FORM FOR THE JACK RUSSELL TERRIER CLUB of AUSTRALIAInc.

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* USE BLOCK LETTERS ONLY PLEASE

* NO LATE ENTRIES WILL BE ACCEPTED

* PLEASE CHECK FOR CORRECT REG. NAME & NUMBER

* ALL ENTRY FORMS MUST BE ACCOMPANIED BY APPROPRIATE FEES

Class

No.

Reg. Name

of Entrant

Reg. No.

Sex

Date of

Birth

Colour

Coat

Reg. Name of Sire

Reg. Name of Dam

Name of Breeder

of Entrant

Name of Owner

 

 

Phone

 

If you do not want your
Name & Address Published in the
Catalogue please indicate

Address

 

TOTAL $

 

PUBLISH
DO NOT PUBLISH

Signature

 

All cheque/MO payable to JRTC of Australia Inc.

 

NB: If BBQ is Relevant
after show, please indicate numbers.
Adults Children