Tatra-Club Owczarek Podhalanski
KAMPIOENSCHAPSCLUBMATCH 2010

Location: de Hanzehal te Zutphen
Adres: Fanny Blankers-Koenweg 2
7203 AA Zutphen
www.hanzehal.nl 		Judge: Mrs. M. Ebels

 
date: Sunday April 11 2010
 		 Start: 10.00 h
 
ONLINE
ENTRYFORM

closing date: March 28th 2010

name of the dog
pedigreenumber Select
nr:
sex Select
date of birth Select
  
breeder
sire
dam
owner
co-owner
adress
Zipcode, city and country
Select
Tel.nr.
E-mail
entry in class INFO Selecteer / Sιlect / Zelect / Select

application fee
Baby and puppyclass:
 		 € 17,50 p/pup = total:  
all other classes:
1st dog, incl. catalogue)
 		 € 32,50 p/dog = total:  
** every next dog without catalogue
 		 € 27,50 p/dog = total:  
lunchbuffet (kids until 12 years free) € 5,00 p/pers.
nr of. kids u. 12 yr.
= total:  
       
donations = total:  
total amount

= total €:   *
 
* the sum of the boxes at the rightside, must be filled in by yourself
** Please, click here for sending the details for every next dog
extra catalogue   € 2,50
   
International payments
  nr.: 72.34.249
IBAN: NL13PSTB0007234249
Swift/BICcode: PSTBNL21		 with the note:

  Clubmatch 2010

  
 
 
Postbank account number
 
   
Payments must be carried out directly. At cash payment on the event, we will charge € 5.00 extra p/dog
 .
   

Junior handling

FREE OF CHARGES

first- and name of the 1st child

date of birth
Select
 name of the dog:

first- and name of the 2nd child

date of birth
Select
 naam of the dog:

           
 
 
- The exhibitor states that, by enrolling for the show, he accepts the legal authority of the 'Vereniging Raad van Beheer op Kynologisch gebied in Nederland' (Dutch Kennel Club) and the operation of the 'Kynologisch Reglement' (Kennel Club rules) and that he may be considered to be familiar with these rules.
- The exhibitor states that the dog he has entered has not, to his knowledge, during the last 12 weeks been in circumstances where there might have been danger of infection with canine distemper, or any other infectious disease, and that he will not present the dog if such circumstances should occur between now and the day of the show.
- The exhibitor undertakes to pay the entry fee.

signature
Your name date Select

EN - Please, check your details, before you push on the send button. After you've send the entry form, you see which details the Tatra-Club receives. If you want, you can print this form with the printer button in your browser.
You receive a confirmation after we've checked your payment and details. If you haven't receive anything within 2 weeks, please contact us at clubmatch@tatraclub.nl
You'll receive your entry number some days before the event.