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Breeder Identifier Application Form

In the space below, please list three choices for your reserved Breeder Identifier. If possible, your first choice will be reserved for you. Please include your payment of $50.00 with your request and send to the address below.

Today's Data (mm/dd/yyyy)

1st Choice: 
2nd Choice:
3rd Choice: 

Owner Code:  
Owner Name: 

Signature

                _____________________________________

 

Enclose $50.00 for your Breeder Identifier and mail to:

ILR
PO Box 8
Kalispell, MT  59903