THE NORFOLK TERRIER CLUB
2017STUD LISTING
PLEASE SUBMIT YOUR APPLICATION BY JANUARY 15, 2017
Listings will appear on the NTC website and in select Club publications in 2017
MAIL COMPLETED APPLICATION AND CHECK, MADE PAYABLE TO THE NORFOLK TERRIER CLUB, TO: Jeff Partington, 9316 S Pepperwood Lane, Highlands Ranch, CO 80126
You can also submit your application on line, including pictures and pay with PayPal on the NTC website, .The links will be posted in the ‘Notice to Members’ box on the home page and also in the ‘Members Only’ section of the website.
Only Norfolk Terrier Club members, in good standing, may be listed on the Norfolk Terrier Club website and in Club publications. Associate Members are not eligible for listings.
Stud Dog Listing w/ Kennel listing$10.00 per Dog - # of Dogs X $ 10.00 = TOTAL $ ______
Stud Dog Listing w/o Kennel Listing: $30 first dog and additional dogs $10/ea = TOTAL $ ______
Eligibility for Stud Dog listing on the website and/or in the Annual requires the following:
CHIC number and/or full or partial testing. Any testing done for a dog must be listed on
CERF and/or OFA websites. Progress towards all tests being completed must be shown each year.
(PLEASE PRINT or ATTACH A TYPED SHEET)
All information provided will be printed in the directory and on the website unless otherwise requested.
KENNEL PREFIX: ______
MEMBER NAME: ______
ADDRESS: ______Printed: YES ___ NO ___
______
(City) (State) (Zip Code)
CONTACTPHONE: ______Printed: YES ___ NO ___
EMAIL: ______WEBSITE: ______
Disclaimer: The Norfolk Terrier club shall not be a responsible party in any disputes between breeders and purchasers unless specifically stipulated in the NTC Constitution and By-Laws or the Code of Ethics.
Submission and payment constitutes that members agree to abide by the Norfolk Terrier Club Code of Ethics as published on the NTC Website (Rev Feb. 2009) and certifies that all information is correct. The Club reserves the right to delete listings for any violations of the Clubs Code of Ethics or providing incorrect or misleading information. Listing fees will be forfeited for any listing deleted for cause.
Signature: ______DATE: ______
STUD DOG LISTING-1(Certification numbers must be provide for any tests completed and registered)
AKC REGISTERED NAME: ______REG# ______
SIRE'S NAME: ______REG# ______
DAM'S NAME: ______REG# ______
CHIC# ______OFA (patella’s) ______
CERF# ______(examined by a board certified canine ophthalmologist)
OFA# ______(examined by a board certified canine cardiologist-ultra sound colored Doppler)
OFA (hips) ______PENN HIP (Optional) ______
Use Current Web photo ____ or send a JPEG Photo to the Webmaster
Name of Norfolk to be listed under photo ______(Optional)
STUD DOG LISTING-2(Certification numbers must be provide for any tests completed and registered)
AKC REGISTERED NAME: ______REG# ______
SIRE'S NAME: ______REG# ______
DAM'S NAME: ______REG# ______
CHIC# ______OFA (patella’s) ______
CERF# ______(examined by a board certified canine ophthalmologist)
OFA# ______(examined by a board certified canine cardiologist-ultra sound colored Doppler)
OFA (hips) ______PENN HIP (Optional) ______
Use Current Web photo ____ or Send a JPEG Photo to the Webmaster
Name of Norfolk to be listed under photo ______(Optional)
STUD DOG LISTING-3 (Certification numbers must be provide for any tests completed and registered)
AKC REGISTERED NAME: ______REG# ______
SIRE'S NAME: ______REG# ______
DAM'S NAME: ______REG# ______
CHIC# ______OFA (patella’s) ______
CERF# ______(examined by a board certified canine ophthalmologist)
OFA# ______(examined by a board certified canine cardiologist-ultra sound colored Doppler)
OFA (hips) ______PENN HIP (Optional) ______
Use Current Web photo ____ or Send a JPEG Photo to the Webmaster
Name of Norfolk to be listed under photo ______(Optional)