AMERICAN STAFFORDSHIRE
TERRIER CLUB OF WA
BREEDERS DIRECTORY
APPLICATION FORM
NAME
..
PREFIX
PH #.................................................
Email
Please tick boxes you would like to be included in!
Breeders Directory ( )
Website Link URL
...
........
( )
Stud Dog Registry ( )
Dog's Name
Sire's Name
Dam's Name
...
Stud Dog Photo ( )
All categories listed above are $5.00 per annum. The Breeders Directory will be
published both on the official club website also in the each issue of the newsletter.
Please note that by submitting your application form you are agreeing to abide by
the American Staffordshire Terrier Club of WA's breeders guidelines, which have
been set in place to ensure that responsible ownership of puppies is first and foremost
in everyone's minds, and that all our puppies go to loving and secure homes.
All cheques/money orders to
American Staffordshire Terrier Club of WA
14 Hatch court Forrestdale WA 6112
Signed
.....Date
.