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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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