miscellaneous

On-Line Entry Form

DOG'S NAME:

AKC REGISTRATION #:

BREED:

CLASS(ES):

SEX:

FEMALE

MALE

BREEDER(S):

OWNER(S):

ADDRESS:

CITY:

STATE:

ZIP CODE:

PHONE #:

CELL PHONE/OTHER:

E-MAIL ADDRESS:

AGENT:

GSDC of N. Va., May 28, 2005 - Judge: Danny Dwier

GSDC of E. Va., May 29, 2005 - Judge: Ed Barritt

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