American Boxer Club, Inc.
Futurity Puppy Nomination Form
TO PRINT THIS FORM PLEASE USE THE LINK PROVED AT THE BOTTOM OF THE PAGE

I hereby nominate the following puppy/junior for the American Boxer Club Futurity for the year 20____ and enclose herewith five ($5.00) dollars for said nomination. Said nomination is subject to the "Conditions" governing the said Futurity. The undersigned represents that the information provided is correct and true.

Please Type or Print Clearly

AKC Name or name applied for: _____________________________________________________________________*

Dam: _______________________________________________ ABC Bitch Nomination #: ______________________

Sire: ________________________________________________ ABC Puppy #: ______________________________

Whelping Date: ____________________________ Sex: _____________ Color: ______________________________

Name of breeder that nominated bitch: ______________________________________________________________

Print name of owner (One only): ____________________________________________________________________

Address of owner listed above: _____________________________________________________________________

                                          _____________________________________________________________________

Email: ________________________________________________ Phone: ___________________________________

Signature of owner listed above: ____________________________________________________________________

Check #: ____________________________________

Puppy must be nominated on or before four (4) months birthday. Postmark on nomination letter is used as deadline. Please do not send "Return Receipt Requested". If you do not receive acknowledgment within 4 weeks please Contact Futurity chairperson at any of the numbers or the address below.

* Any change of name submitted above must be conveyed to the Futurity chairperson prior to the list being sent to the Superintendent (March 1) or there is great risk that the entry will not be accepted.

**Puppy # will be assigned and copy of this form returned to you as acknowledgment of nomination.

***It is not necessary to notify Futurity chairperson of change of ownership of puppies.

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

Printable Form
Adobe Acrobat Required

  © 1998 American Boxer Club, Inc. - All Rights Reserved -
  All web content questions and comments should direct to Webmaster