Briard Referral List Application
ADVERTISEMENT
1
2
3BCA WEBSITE – BRIARD REFERRAL LIST
Application - Puppy/Litter Referral Listing (updated 4/6/09)
This form must be filled out completely (address info optional) and legibly.
Payment to BCA must be included with application.
Supporting documentation may be sent as a mailed hard copy, an emailed scan, a website
printout included in an email, etc.
Please see Referral Guidelines in the BCA Policy Manual for additional information.
PLEASE READ THE FOLLOWING STATEMENT CAREFULLY BEFORE SIGNING.
THIS STATEMENT MUST BE SIGNED BY OWNER OF RECORD OF DAM AND/OR SIRE BEFORE
LISTING WILL BE PUBLISHED ON THE BCA WEBSITE.
I hereby certify that I am a member in good standing with the Briard Club of America and have
agreed to abide by the BCA Code of Ethics, and that the information provided herein is true and
correct, and that all of the health clearances referenced herein have been issued as final by the
appropriate issuing bodies, and that true and correct copies and/or website links have been
provided with this listing application.
Signature _________________________________________ Date _________________
Primary Contact
OWNER OF
DAM
SIRE
Signature _________________________________________ Date _________________
Secondary Contact
OWNER OF
DAM
SIRE
BREEDER/KENNEL CONTACT INFORMATION for WEBSITE and PUBLICATIONS
(Contacts must be BCA members in good standing)
Address information may be posted on the BCA website.
_____YES
_____NO
Address information may be published in the DewClaw.
_____YES
_____NO
Primary Contact __________________________________________________________
Address (opt)_____________________________________________________________
City (opt)__________________________________ State (opt)_______Zip (opt)_______
Telephone Number ________________________________________________________
Email address _____________________________ Website ______________________
Secondary Contact ________________________________________________________
Address (opt)_____________________________________________________________
City (opt)__________________________________ State (opt)_______Zip (opt)_______
Telephone Number ________________________________________________________
Email address _____________________________ Website ______________________
BRIARD LITTER/PUPPY INFORMATION
Date puppies expected ____________________________________________________
Color(s) expected ________________________________________________________
(You may email the referral chairperson to update litter details post-whelp at no charge.)
OR
Date puppies whelped _____________________________________________________
Number males and colors available ___________________________________________
Number females and colors available _________________________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Aer Form 600 - Commander's Referral Program - Application For Army Emergency Relief (aer) Financial Assistance
Business
Aer Form 600 - Commander's Referral Program Application For Army Emergency Relief (aer) Financial Assistance
Business
Related Categories
Parent category: Business