2010 BORDER COLLIE NATIONAL SPECIALTY
 October 18-24, 2010 - Purina Farms - Gray Summit, Missouri
HEALTH TESTING

After you click "Submit", you will be taken to the Confirmation/Shopping Cart window.  You can choose to pay with a credit card or mail a check (address on next page), simply close the window or you can pay for your ticket with a credit card (via PayPal).  (R) = Required Information

SEPARATE FORM MUST BE COMPLETED FOR EACH DOG CREDIT CARD PAYMENT ONLY
OWNER INFORMATION
First Name:   (R)
Last Name:   (R)
Address:   (R) 
City/State/Zip:   (R)
Best Telephone:   (R) 
Owner E-mail:    (R) 
Best Way to Contact:   (R) 
   
DOG INFORMATION
Registered Name   (R) 
Registration No.   (R) 
Breed   (R) 
Date of Birth   (R) 
Permanent ID   (R) (tattoo or microchip no)
 
TEST(S) REQUESTING
 
BAER - $55   TNS - $82   CL - $51   MDr1 - $65
CERF - $28 ea or $20 ea for 4+ dogs
 
TESTING TIME REQUESTED
 
 

PAYMENT
Total Due:   (R)