Entry form English .pdf


Nom original: Entry form English.pdfTitre: Entry form EnglishAuteur: nardini

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association DAF - Dogue Argentin France presents its:
Fist international meeting of Dogo argentino
november 02 & 03, 2013 at Signes - Var(83870)
entry form (one by dog):
First closure +10% : 30/09/2013 - last closure: 15/10/2013
NAME OF THE DOG :
...................................................................................
Male
Female
N° L.O. : ......................................... ............................

PARTICIPATION AUX FRAIS D’ORGANISATION
1st Dog
2nd Dog and others (Same owner)/ all classes
Classes: veteran, baby
Classes: Work
Group affix or of descent
Couples and pairs

..…….35€
…..….20 €
..........20 €
..........10 €
.........10 €
..........10 €

N° Microship : .................................... .......................
Classes in which the dog can be committed

/

addressed Sommes

Date of birth : ............................................................
Father :
...................................................................................
Mother :
...................................................................................
Name of the breeder:
...................................................................................
Name of the owner:
...................................................................................
Adress complete :
...................................................................................
...................................................................................
................. .................................................................
Tel. : ...................................................
Mail:………………………………………………………

The dogs having an eliminatory defect can be
presented “out of contest”, that gives right a
judgement but not possibility of classification:
Out of contest (with being notched in addition to
the class of presentation)

Open ( minimum 15 month old)

...........

Work (minimum 15 month old + having taken part in hunting
or in the demonstrations of use)

...........

Intermediary (15 to 24 month)

...........

Young (9 to 18 month)

...........

Puppy (6 to 9 month)

...........

Baby (3 à 6 mois)

...........

Champion

...........

Veteran (more than 8 years)

...........

Groups, couples and pairs:
Group of breed (To pay only one time)

...........

Names of the others dogs in the group:............................................................
Couple (To pay only for one dog)
...........
Name of the second dog in the couple:............................................................
Pair (To pay only for one dog)
...........
Name of the second dog in the pair:.................................................................
First closure: sent after 30/09/2013: +10%:

Class Comite DAF (with being notched in addition
to the class of presentation)

TOTAL TO PAY..................................................
method of payment for the entry form:

dinner of Saturday evening - Argentinian theme:
1 dinner (drink inclused):
........20€
To book with the entry form
Number of dinners:..................................................

...........

Bank transfert

To return by email with a proof of the credit transfer indicating the name of
the owner
Mail: daf.dogueargentinfrance@gmail.com

Possibilité de se restaurer sur place le midi
I state to accept without restriction nor reserve the
obligations which result for me from this
engagement.
Signature :

BIC/IBAN: AGRIFRPP848
FR76 1480 6180 0072 0004 9570 191

DOMAINE DU SOLITAIRE
5100 ROUTE DE MÉOUNES
83870 SIGNES (VAR)
FRANCE
GPS: LAT. : 43.287968 | LONG.: 5.940342
INFORMATIONS:
ELSA NARDINI: 06 63 82 91 98
ANDREA SERGI: 06 80 74 57 37
Plans, lodgings
and demonstrations
Méounes-les-Montrieux 5km:
Hôtel La Source
04 94 48 99 83
Fax: 04 94 28 31 94
site : www.les-sourciers.net
Chambres d’hôtes Pachoquin
06 80 91 07 76
site : www.pachoquin.com
Chambres d’hôtes Lange, Wolf Joachim
06 69 50 24 48
e-mail : maison-provence.lange@sfr.fr
Gîtes LOVIDA
location maison pour 15 personnes
04 94 80 45 40
06 87 27 75 69
06 09 30 27 06
e-mail : lovida.meounes@orange.fr
Gîtes Clos de la Maguelonne
1865 quartier les Espreveires
06 45 48 06 59
e-mail : closdelamaguelonne@gmail.com
Gîtes L'Hermitage
825 Collet St Lazare
09 75 43 18 39
06 99 58 84 96
site: www.visitprovenceverte.com
Camping "Aux tonneaux"
Quartier Les Ferrages
04 94 33 98 34
Camping Domaine de Gavaudan
04 94 48 95 34

Signes 5km:
Gîtes Communaux (Gîtes de France)
Hôtel de Ville, 5 rue St Jean
Tél.04 94 25 30 87 Fax 04 94 25 30 90
Email: mairie@signes.com
Site: www.gites-de-france-var.fr
Le Jas des Marquand
Quartier Siou Blanc
Tél.06 86 11 06 44

Danièle et Henri Peter (Chambres d’hôtes)
420, Ancien Chemin de Toulon
Tél.04 94 90 80 62 Mob.06 74 51 99 07
Email: danielehenri@free.fr
Site: http://danielehenri.free.fr
Demeure de Cancerilles – Lucile Cruz
1380, Route de Belgentier
Tél.04 94 90 83 49 Mob.06 17 77 48 94 Fax 04 94 90 68 85
Email: demeurecancerilles@orange.fr
Site: www.demeure-de-cancerilles.com
« Domaine de Manon » Résidence Village Center
Avenue de Paris, Parc d’activités de Signes
Tél.08 25 00 20 30
Email: dirdomainedemanon@village-center.fr
Site: www.residences.village-center.fr
Laurent Benvenuti (Gîtes de France)
2191, Route de Marseille
Tél.06 50 96 16 90
Site: www.gites-de-france-var.fr
« Le Clos des Acacias » Hôtel
1, Avenue du Cheval Blanc
Tél.04 94 26 17 73
Email: closdesacacias@orange.fr
Les Soléïades
Domaine des Hauts du Gapeau - 5100, Route de Méounes
Tél.06 82 69 57 70 Fax 04 94 20 32 18
Email: lessoleiades@free.fr
Site: www.lessoleiades.fr
Nadine Robquin (Chambres d’hôtes)
674, Chemin du Raby Tél.04 94 90 68 55
Email: nadine.robquin@orange.fr
Roch Panicco (Chambres d’hôtes)
530, Chemin des Launes Lot.Les Cigales
Tél.04 94 90 87 35 Fax 04 94 90 87 35
Email: roch.panicco@wanadoo.fr
Château de Cancerilles
1400, Route de Belgentier
Tél.04 94 90 83 93 Fax 04 94 90 83 93
Email: garcia@chateaudecancerilles.com
Site: www.chateaudecancerilles.com

(To cut out according to the dotted lines and to join to the entry form)...........................................................................................................................................
Demonstrations of uses and hunt:
If your dog practises an activity on a confirmed level or expert thank you to specify which :...........................................................................
(Example: Agility, Obedience etc.)
Are you agree to take part in a demonstration in this activity the 02/11/2013? :
YES
NO
(to stripe the useless mention)
(Gives Right to the inscription reduced in working class)
Does your dog take part in the competition of hunting?:
YES
NO
(to stripe the useless mention)
(Gives Right to the inscription reduced in working class)


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