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Semen Form -
Rev1
THE
BITCH___________________________________________________________________________
Registration: C.K.C.__________________
A.S.C.A.__________________ A.K.C.___________________
Sire:___________________________________________________Reg.
No.________________________
Dam:__________________________________________________ Reg.
No.________________________
Breed_________________________________________________________________________________
Owned
by______________________________________________________________________________
Address_______________________________________________________________________________
Telephone
number_______________________________________________________________________
Semen fresh or frozen from my STUD DOG_________________________________________________
Registration: C.K.C.__________________
A.S.C.A.__________________ A.K.C.___________________
Sire:___________________________________________________Reg.
No.________________________
Dam:__________________________________________________ Reg.
No.________________________
Owned
by______________________________________________________________________________
Address_______________________________________________________________________________
Telephone
number_______________________________________________________________________
Cash fee $_______________
Received Full Paym't_____________ Rec'd PART Paym't_____________
CONDITIONS
OF SERVICE (and a part of this
contract)
No fee refunded in whole or
in part.
A guarantee of frozen
or fresh semen only is made and not of pregnancy or of puppies
living or dead. All vet bills, shipping, rental of canister and
expenses, are the responsibilities of the
buyer.
IMPORTANT
- Any ADDITIONAL or SPECIAL AGREEMENTS, conditions or provisions
are noted on this certificate, under "Additional Conditions".
________________________________________________________
DATE________________________
Owner of stud dog
________________________________________________________
DATE________________________
Owner of Bitch
LITTER registration papers signed for:
____ males and ____ females in this litter of puppies, born
on:___________________________20____.
ADDITIONAL
CONDITIONS:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
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