Online Registration Form

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Registration / Listing Request Form

Please read on completing this form before you use it for the first time. After completing the form you must click on the submit button.

You MUST use the TAB key to move between fields. Do not use the ENTER key until you are ready to submit your registration.

* Required fields are in red.

Owner Code: 
If you do not have an ownercode, use your email address until an ownercode can be assigned to you.		 i.e. XY372 - no spaces or dashes Click here to change your member information
First Name, Middle I: * Last Name: *
Farm/Ranch    
Street Address:* City:*
State Initials:* Zip*
Country:*    
Day Phone:* Eve Phone:
Fax: Cell Phone:
Web Site: Fields in gray are entered automatically from the owner code you have entered.
Email:*
If this animal is owned jointly and being registered under 2 or more owners filling in spaces below. Otherwise move to Information for Lama Being Registered.
Second Owner Code:       
First Name, Middle I:  Last Name:
Farm/Ranch:    
Street Address:  City:
State Initials:  Zip:
Country:    
Day Phone: Eve Phone:
Cell Phone: Fax:
Web Site: Fields in gray are entered automatically from the second owner code you have entered.
Email:
Lama Being Registered    
Reserved # (if used):       
Name Includes Breeder Identifier: Please select before filling in Name Choice 1
Name Choice 1:*( MAX 35 Characters)    
Name Choice 2:*( MAX 35 Characters) If you are using a Breeder Identifier, these fields are filled in automatically from the Name 1 Choice.
Name Choice 3:* ( MAX 35 Characters)
Date of Birth:* Month Day Year  
Calculated Service Date:

 This is entered automatically from the date of birth.
Actual Service dates:*

Month Day Year This is entered automatically if you click on Use this date
If you click on I have my own date, this field will be cleared allowing you to enter your own date Registered date of service exp.

Country of Birth:*  Type U for USA    
Country of Residence:* Type U for USA    
Species: *
Gender:*    
Blood Type or DNA Case:#       
Chip Location:     
Microchip: #    
Chip Manufacturer    
Tattoo or Ear Tag:       
Tattoo or Ear Tag #:    
Primary Color: *     
Second Color    
Third Color:     
Special Markings - Body:    
Special Markings - Head:    
Special Markings - Legs:    
YES I am sending a DNA FTA gene card for this lama for Storage*
YES I am sending a DNA FTA gene card for this lama forTesting*
NO I am not sending an FTA gene card for this lama
Info About Sire Of Lama    
 
Country of Service: *    
Sire ID #:*
 
Sire Name:* These are entered automatically from
the Sire ID#
Sire Breed:*
Blood Type or DNA Case #:
Name of owner on service date:*
Owner code:*
Info About Dam Of Lama at Conception    
Dam's ID #*
 
Dam's Name:* These are entered automatically
from the Dam ID#
Dam Breed:*
Breeder (Owner at Conception):*
Breeder Code (Owner at Conception):*
Dam's Blood Type or DNA Case #:
Info About Dam Owner at Cria's Birth
Dam Owner:*
Owner Code:*



Owner of Lama Being Registered
I certify that, to the best of my knowledge, the information on this form is
correct; and I hereby agree to abide by the policies and bylaws of the
International Lama Registry.

 

Month: Day: Year

Registration/Listing Fee:  

You MUST insert this number into the box on the left before submitting.

To continue to registration, check entries in the form above and then click the 'Submit' button below.