Breeders File / Herd Prefix application

PLEASE PRINT & Mail this form with appropriate fee to Pedigree International

Farm Name (if used)______________________________________________________

Name ________________________________________________________________

Address _______________________________________________________________

City/State/Zip __________________________________________________________

Phone Number _________________________________________________________

Fax Number ___________________________________________________________

EMAIL ________________________________________________________________

Website _______________________________________________________________

Breed to be registered ____________________________________________________

USDA Scrapie Herd or Flock ID number ______________________________________

PREFIX requested - first choice (one to three characters) ________________________

PREFIX requested - second choice (one to three characters) ______________________

PLEASE NOTE: All of the above information, with the exception of your herd prefix, will be listed on

the Pedigree International website's BREEDERS INDEX .

Mail this form with your Breeders File fee to:

Pedigree International

3326 South First Road

Humansville, MO 65674

(make out check or money order to Pedigree International)
See '**' below to calculate your actually Breeders File fee

**
$25.00 Filing fee for opening your initial account. This is in addition to the $25.00 per year annual fee.

If opening your account in mid year calculate your amount due as $2.10 a month for each month left in this year plus the $25.00 initial filing fee. You do not have to pay for the month you are filing in. Start with next month.

If opening Your Breeders file in July - Dec. calculate your amount due at $2.10 a month for each month left in this year and add the $25.00 annual fee for next year plus $25.00 initial filing fee.

The Breeders File fee is assessed each year and is due on January 1 of each year- you will receive a renewal notice in Oct - Nov of the proceeding year.

Your contact information is listed under all pertinent breeds on the Pedigree International website and we will provide your name and contact information to all those who contact us looking for breeders of the type of animal you have recorded in our database. If you have changes of address, email etc. we will make these changes to the website and our files at no additional charge.

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