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2003 AKITA SPECIALTY ENTRY FORM INFORMATION
STEP 2

LONE STAR AKITA CLUB OF HOUSTON
Akita Specialty Show
Friday, November 7, 2003

ENTRIES CLOSE WEDNESDAY NOON, OCTOBER 22, 2003
After which time entries cannot be accepted, canceled or substituted
except as provided for in Chapter 11, Section 6 of the Dog Show Rules

For assistance please contact Judy Bernsen at:
showchair@lonestarakitaclub.org or 281-635-2964

This Online Entry is a 3 step process:

Step 1 - Accept AKC Agreement and continue to Step 2. - Agreement Document

     Step 2 - Enter the Dog - Complete the entry information for your dog and press the
     "Submit" button at the bottom of this form. If you are entering
      more than one dog - repeat the above step for each dog. - Entry Form Document

Step 3 - Pay for the entries - You can use PayPal or you can send a check or money
order to Pam Byrne, 2211 Bron Holly Dr, Houston, 77018. - Pay Pal for Entries Document

(Entries received without payment by the closing date
will be returned and the dog will not be entered.)

Date:
Breed:
Sex
Regular Classes:
Additional Classes:
Full Name of Dog:
Choose one: AKC No. AKC Litter No. ILP No. Foreign Reg. No. & Country	NO: Foreign Country:
Date of Birth:
Place of Birth:
Breeder:
Sire:
Dam:
Actual Owner(s):
Owners' Email:
Owners' Address
City, State, Zip	,
Owner Telephone
Agent:
Agent Email:
Agent Code #

JUNIOR SHOWMANSHIP INFORMATION
Jr. Showmanship Class
Name of Jr. Handler
Jr. Handler Address
City, State, Zip	,
Relationship of Jr. Handler to Owner
AKC Jr. Handler No.
Jr. Handler Date of Birth
	I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry, I (we) agree-to abide by the rules and regulations of the American Kennel Club in effect at the time of this show or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or obedience trial or both, and further agree to be bound by the 'Agreement' printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and agreement. I have read the AKC Agreement and by entering my signature below, agree to the terms of the agreement as outlined on the AKC Agreement printed on the preceding page.
Owner/Agent Signature:
Amount Due:
Payment Method:	Choose payment type: Note: There will be a $2.00 processing fee with Pay Pal payment. If paying by Check or Money Order, mail payment to: Lone Star Akita Club of Houston c/o Pamela Byrne, Show Secretary 2211 Bron Holly Drive Houston, TX 77018
Press Submit to submit Entry or Reset to clear form and start over.

© Copyright 2002; The Lone Star Akita Club of Houston
All Rights Reserved