Litter Referral Application Form

Bernese Mountain Dog Club of the Rockies


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BMDCR breeders many apply for breeder referral services and litter box advertisements on line by filling out the form below. You will receive conformation of your application by e-mail.

First Name: Last Name:

Street:

City: State: Zip:

E-Mail:

Phone: Approximate Whelp Date:

Breeder Referral Litter Box Ad

Are you a BMDCR voting member in good standing?	Y N
Have you paid the yearly $5.00 referral fee?	Y N
Are both the sire and dam registrable with the AKC?	Y N
Have both the sire and dam been evaluated by either the OFA or GDC for both hip and elbow dysplasia?	Y N
Are both the sire and dam over 18 months of age?	Y N
Will the puppies be sold with a health guarantee subject to a veterinarian's exam within 48 hours of sale?	Y N
Are both the sire and dam entered in the Berner-Garde?	Y N
Will you provide a complete litter entry to the Berner-Garde?	Y N

	SIRE	DAM
.AKC Name
Reg. No
Born
Titles - Conformation & Performance

Philip Shaffer, pshaffer@bmd.org last update 12/12/10
Bernese Mountain Dog Club of the Rockies