EmailMe Form - Application For Registration

EmailMeForm

Animal Information
*A tattoo or RFID number is required to complete this form*

If you are registering a BULL a photo upload is required.
Ear Tag:
Name Prefix:
Animal Name: *
Date Calved: *
MM / DD / YYYY
SEX *
Bull Photo Upload
If you selected the sex as a BULL this is mandatory
Calf's % *
Calving Ease: *
Calving Type: *
Point Color *
Body Color *
Polled Status: *
Polled
Horned
Scurred
Tattoo:
Tattoo Location:
Left Ear
Right Ear
Both
RFID:
Holding Brand & Location & Type
Please let us know the brand information, location on cattle, and type of brand used.
Weights & Dates

Birth Weight

Weaning Weight

Yearling Weight

Please place whole numbers only, and then the date of weight.
Genealogy
Please provide us with the Sire & Dam information
*

Name Registration #

Sire

Dam
Sires % *
Dams % *
Owner: *
First Last
Breeder: *
First Last
Transfer Of Animal
Please complete the below portion if the animal has also been sold (The pedigree will be mailed to the new owner)
New Owner Name:
First Last
Farm/Business Name:
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email
Phone
### - ### - ####
Date Of Sale:
MM / DD / YYYY
Sold Open/Bred/Pasture Exposed
Transferred Feamle:

SIRE NAME Registration #

BRED A.I.

PASTURE BRED
Service Date From:
MM / DD / YYYY
Service Date To:
MM / DD / YYYY
Fees:
Please select all that apply: Please pay attention and mark the correct fee per the animals sex & age and your membership status.

If the incorrect fee is applied the office will be in contact.

If you are Transferring an Animal you will have TWO selections made.
Registration Fees:
REGISTRATION FEE : Animals Under 18 months of age
Bulls 25.00
Purebred Females 20.00
Three-Quarter Females 15.00
Half-Blood Females 10.00
Steer 10.00
REGISTRATION FEE : Animals OVER 18 months of age
Bulls 50.00
Purebred Females 40.00
Three-Quarter Females 30.00
Half-Blood Females 20.00
Steer 10.00
Transfer Fees:
MEMBERS ONLY: TRANSFER FEE :Within 60 days of Sale
15.00
MEMBERS ONLY: TRANSFER FEE : After 60 days of Sale
30.00
NON-MEMBERS ONLY: TRANSFER FEE : Within 60 days of Sale
30.00
NON-MEMBERS ONLY: TRANSFER FEE : After 60 days of sale
60.00

Birth Weight
Weaning Weight
Yearling Weight

	Name	Registration #
Sire
Dam

	SIRE NAME	Registration #
BRED A.I.
PASTURE BRED

Animal Information

Genealogy

Transfer Of Animal

Fees:

Registration Fees:

Transfer Fees: