American Boxer Club, Inc.
Futurity Bitch Nomination Form
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I hereby nominate the following bitch for the American Boxer Club Futurity for the year 20___ and enclose herewith ten ($10.00) dollars for said nomination. Said nomination is subject to the "Conditions" governing the said Futurity. The undersigned represents that the information is correct and true.

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Name of Bitch: ___________________________________________________________________________________

Name of Sire of this Breeding: _______________________________________________________________________

Date of Breeding: ________________________________ Date due to whelp: ________________________________

ABC Futurity Bitch #: __________________________________ **

Print name of the owner at time of breeding: __________________________________________________________

Address of owner: ________________________________________________________________________________

                         ________________________________________________________________________________

Email: ________________________________________________ Phone: ___________________________________

Signature of owner: _______________________________________________________________________________

Club Membership: ____________________________________ Check #: ____________________________________

*Submit name and address of ONLY ONE owner/breeder. This form is for nomination only and not info that will appear in the catalog. Make checks payable to American Boxer Club. Name and address on checks is not sufficient. Name and address must be on the nomination form. Check and form are separated shortly after received. It is also the responsibility of the nominator to provide all of the information requested in a legible form and in a timely manner. Forms must be complete and postmarked prior to the date that the bitch whelps. Please do not mail "Return Receipt Requested". If you do not get acknowledgment of nomination within 28 days you should contact the Futurity chairperson at the address or one of the numbers listed below.

** After recording the nominations the ABC Futurity Bitch # will be added above and this form will becopied and returned to you as your receipt and acknowledgment. This number should be placed in the space indicated on the puppy nomination form.

The ABC gratefully acknowledges the support from Purina and the Pro Plan Futurity Alliance to enhance our club’s efforts in advancing the excellence on the Boxer through quality breeding, care and health programs.

Date:____________________________
  Nominations should be sent to:
Dr. Barry R. Wyerman -- ABC Futurity Chairman
45859 Willingham Drive
Novi, MI 48374
Phone: 248.344.7944
Email: futurity@americanboxerclub.org

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