HHP ENTRY FORM

 (Printable Form)

PLEASE COMPLETE THIS ENTRY FORM AND SEND WITH YOUR FEES

(PLEASE TYPE OR PRINT LEGIBLY)

 

NAME OF OWNER____________________________________PHONE____________

 

STREET________________________________________________________________

 

CITY_____________________________STATE____________ZIP_________________
 

EMAIL ADDRESS OF OWNER  ____________________________________________
 

NAME OF CAT____________________________DOB(ESTIMATE)_______________

 

COLOR_________________________________________________________________

 

CHECK ONE             ADULT______NEUTER______SPAY______

                                    KITTEN_____FEMALE______MALE______

 

SIGNATURE OF OWNER_________________________________________________

(If owner is under 18 years of age, this blank must be signed by owner’s parents or guardian)

ONE SPECIAL REQUEST FOR BENCHING__________________________________

 

PLEASE MAKE CHECKS PAYABLE TO BIRMINGHAM FELINE FANCIERS

 

eMail / fax entries to: 

Ray Cherrington
 
 PH: 904-269-5871

 FX: 904-269-5321

           Email: mchrch@ix.netcom.com

Entries will close January 23th,2012 .  I MUST HAVE ALL ENTRIES IN HAND (not postmarked) BY THE ABOVE DATE NO LATER THAN 8:00 p.m.