NABSR Form C

North American
Barbados Blackbelly Sheep Registry
P.O. Box 237, McKean, PA 16426
email: blackbellies@sheepregistry.com

FORM C - BREEDING MEMO
This form is used when you have rented/leased/borrow a registered ram or service.
Please attach this form to your application for registration.
There is no additional charge for this form.
.

Name of Ram ________________________________________________________________________

Tattoo/tag # L ______ R _______ Regis. #_________________

Ram Owner's Name____________________________________________________________________

Ram Owner's Address __________________________________________________________________

Name of Ewe _________________________________________________________________________

Tattoo/tag # L ______ R _______ Regis. #__________________

Ewe Owner's Name_____________________________________________________________________

Ewe Owner's Address___________________________________________________________________

Dates of Service _______________________________________________________________________

I hereby certify that to the best of my belief and knowledge, the information on this application is true and correct:

___________________________________________________________________Date_____________
signature of ram owner

____________________________________________________________________Date_____________
signature of ewe owner