American Belgian Blue Breeders, Inc. American Belgian Blue Breeders, Inc.
Multiple Registration Application PO Box 154
Required fields are indicated by an asterisk (*) Hedrick, IA 52563
Type in the information on the application. In the sections that have several optionseither highlight or underline the correct option. After completing the application save the copy to your computer and email the application to the office at . Registrations will not be completed until payment is received.
*First Name: / *Last Name:
*Address:
*City: / *State: / *Zip
*Phone / e-mail:
Animal 1
*Name: / ET Not ET / %Belgian: / *DOB:
Birth Weight: / Sex: Bull Cow Steer
Color: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
(for color definitions see below) / Twin? Yes No
(please circle one)
*RE Tattoo: / *LE Tattoo:
Horned: Horned Polled Scurred / Calving Ease:
Natural Some assistance Mechanical assistance C-section
Blood Case#: / Lab Name: ImmGen Canadian Belgian
Sire Name/Breed: / %Belgian
Reg #: / Circle One: ABBB BBBI Canadian Belgian No Registration#
Dam Name/Breed: / %Belgian
Reg #: / Circle One: ABBB BBBI Canadian Belgian No Registration#
Transfer On Entry
Name:
Address: / Member#:
*City: / *State: / *Zip
Animal 2
*Name: / ET Not ET / %Belgian: / *DOB:
Birth Weight: / Sex: Bull Cow Steer
Color: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
(for color definitions see below) / Twin? Yes No
(please circle one)
*RE Tattoo: / *LE Tattoo:
Horned: Horned Polled Scurred / Calving Ease:
Natural Some assistance Mechanical assistance C-section
Blood Case#: / Lab Name: ImmGen Canadian Belgian
Sire Name/Breed: / %Belgian
Reg #: / Circle One: ABBB BBBI Canadian Belgian No Registration#
Dam Name/Breed: / %Belgian
Reg #: / Circle One: ABBB BBBI Canadian Belgian No Registration#
Transfer On Entry
Name:
Address: / Member#:
*City: / *State: / *Zip
Animal 3
*Name: / ET Not ET / %Belgian: / *DOB:
Birth Weight: / Sex: Bull Cow Steer
Color: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
(for color definitions see below) / Twin? Yes No
(please circle one)
*RE Tattoo: / *LE Tattoo:
Horned: Horned Polled Scurred / Calving Ease:
Natural Some assistance Mechanical assistance C-section
Blood Case#: / Lab Name: ImmGen Canadian Belgian
Sire Name/Breed: / %Belgian
Reg #: / Circle One: ABBB BBBI Canadian Belgian No Registration#
Dam Name/Breed: / %Belgian
Reg #: / Circle One: ABBB BBBI Canadian Belgian No Registration#
Transfer On Entry
Name:
Address: / Member#:
*City: / *State: / *Zip
I hereby certify that this is a true and correct statement, and I desire to have same recorded in the ABBB Herdbook. In consideration of which I agree to abide and be bound by the Articles of Incorporation, Bylaws, Rules and Regulations of the Association and amendments thereto. This performance information may be used for ABBB breed improvement programs.
Signed: / Date:Color Codes
1=Black / 5=Blue / 9=Red / 13=White
2=Black Roan / 6=Blue Roan / 10=Red Roan / 14=White/Black
3=Black/White / 7=Blue/White / 11=Red/White / 15=White/Blue
4=Black/White Face / 8=Brown/White / 12=Roan
ET = Embryo Transfer
Registration FeesRegistration of Fullbloods and Purebreds (for Members, Associate Members fee X2) / $20.00
DNA Kit / $38.00
Registration of Percentage grading-up (50% to Purebred) / $10.00
Certification of Percentage (up to 50%) / $10.00
Certification of Steers / $10.00
Miscellaneous Fees
Duplicate Corrected / Additional Certificates / $10.00
Animal transfer of Ownership / $10.00
Embryo Transfer of Ownership / $10.00
Listing of Foreign Registered Animal in ABBB Herdbook / $10.00
Listing of Domestic Registered Animal in ABBB Herdbook - Certificate / $5.00
Entering Foreign Bloodtype or DNA Genotype at UC Davis / $10.00
Your registration application will be processed and blood kit will be mailed as soon as full payment is received. Fees subject to error and change without notice. Contact us for details.
Please send completed Registration Form and Payment to: American Belgian Blue Breeders, Inc.
PO Box 154
Hedrick, IA 52563
For more info: Telephone & Fax (641) 661-2332 | www.belgianblue.org |