BCSA Trophy Donation Form

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NAME:
ADDRESS:
CITY/STATE/ZIP:

TELEPHONE:
E-MAIL:   
General Trophy Fund: Donations are always needed here. Enter amount offered:
Special Awards 
$25 each:		 BOB, BOS, WD, WB, RWD, RWB, HIT or HC ($25 each, list award offered)
Enter Award(s) Offered:
Enter Amount:
An Entire Class
$40 per class:		 Enter class/venue you wish to sponsor or "any class" and/or the venue you want to sponsor and the Trophy Chair will pick for you.
Class:  Venue:
Day:
Amount:
Offered By: Please enter exactly as you wish it to appear in the catalog, such as your kennel name or in
memory of a dog, etc.  BE SURE TO INCLUDE YOUR NAME IF YOU WANT IT TO APPEAR
IN THE CATALOG.  Select your Trophy Venue for samples.

Mail form and check payable to BCSA to:
Terri Clingerman - 1855 Rt. 21 N. - Palmyra, NY 14522

Office Use Only: Received _______________________  Check #: _____ Web Notified: