Registration Application Form

The American Council of Spotted Asses

Please fill out as much information below as you can, then return this application, along with at lest 2 pictures of the animal to be registered (one picture of each side) and the registration fee to

June Brown
Registrar
1511 CR 3317
Omaha, TX 75571-5401
(903) 884-2067

Registration Fees:

$10.00 per animal for non-members. **

$10.00 per animal for current members

$ 5.00 per animal for transfer of ownership (members and non-members)

** requires that you become a current member of the American Council of Spotted Asses
for membership information click here

Please Use A Separate Form For Each Animal To Be registered.
Photocopies Of This Form Are Acceptable

                                    Date:

SIRE



                       SIRE

DAM



Name

SIRE



                      DAM

DAM

Sex: Date Of Birth: Height (If over 3yrs of age):

Breeder: Brand or Tattoos:

Breeder's Address:

Your Name:

Your Address:

Your Phone: Your eMail Address: