The Sunflower Open All Age Championship


Entry Form
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We are pleased to offer this on-line entry form. Be sure to tell us whether you are entering the dog in the Championship or the Derby. If you include your e-mail address we'll send you a confirmation. Enter early. Enter many.

Just click submit and the form will be automatically e-mailed to the club secretary. Please note that this is the first time we've tried this entry option. We would appreciate a follow-up phone call (620-431-2112) or email (cwmoore@amacominc.com) to double check that our system is working. Note that the draw is scheduled for 8 p.m. Saturday, October 19, 2002. Thanks!


NAME OF STAKE:
DOG'S NAME:
Breed:
Sex:
FDSB Reg. No:
Whelping Date:
Color:
Sire:
Dam:
OWNER:
Street Address:
City:
State:
Zip Code:
HANDLER:
Street Address:
City:
State:
Zip:
CONTACT PERSON:
Phone Number:
E-mail: