THE AUSTRALIA PIG BREEDERS' ASSOCIATION LIMITED
ACN 003 671 485
PO BOX 189, KIAMA NSW 2533 Ph (02) 4232 3333 Fax (02) 4232 3350
APPLICATION FOR REGISTRATION
(Please complete all particulars in INK and in BLOCK LETTERS)
Name: …………………………………………………………………..
Member no: ………………………….
Stud Prefix: ……………………………………
Address: ………………………………………………………………………………………………………………...
……………………………………………………………………………… Postcode: ……………………………
Tattoo Brand: …………………………………
Date: ……………………………………………
Breed: ……………………………………………………………….….
(only one breed per page)
Name
Born
Sex
Tattoo
Sire
H.B. No
Dam
H.B. No
Full/Recorded
Amount enclosed for registration/recording fees: $……………………
I certify that the particulars shown are in true and correct and conform with the Rules and Regulations of the Association.
Signature: …………………………………
Please sign in (in left column) to access this service. If you are not already an online member but are members of the Australian Pig Breeders please contact the office by emailing kerren@lbcentre.com.au to find out how to become an online member.
If you are not a member of the Australian Pig Breeders and you wish to use this service you will need to become a member (there are a number of options to suit most people) or contact Kerren at the above email address or phone 02 4232 3333 to find out more about this organisation.
Australian Pig Breeders
PO Box 189
Kiama, NSW, 2533
Phone: 02 4232 3333
Fax: 02 4232 3350
pigbreeders@lbcentre.com.au