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Chisinau city, Traian bvd., 1/1, of. 1
��l.:
(+373-22) 27-64-64
fax:
(+373-22) 54-04-94

ENTRY FORM
Winter-2011
INTERNATIONAL DOG SHOW 2xFCI-CACIB

Please choose in which Dog Show you want to participate

11^th of February 2012 � CACIB

11^th of February 2012� CAC �MD

12^th of February 2012 � CACIB

11&12^th of February 2012 � 2xCAC-CY

BABY (3-6 months)

PUPPY (6-9 months)

JUNIOR (9-18 months)

INTERMEDIATE (15-24 months)

OPEN (since 15 months)

WORKING (since 15 months)

CAMPION (since 15 months)

VETERAN (since 8 years)

The copy of pedigree and receipt on payment must be added to the entry form.
For competitions, fill in separate entry form.

BREED

SEX

COLOR

DOG�S NICKNAME

PEDIGREE No.

DATE OF BIRTH

TITLES or TESTS

SIRE: name,pedigree No.

DAME: name,pedigree No.

BREEDER

OWNER

ADRESS(street, zip, city, country)

PHONE/FAX; E-MAIL

If you have any questions please call us: Phone/fax: (+ 373 22) 27-64-64

Pet-hotel

Veterinary pharmacy

Training

Zoo-shop

Veterinary clinic

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