Maremma Sheepdog Club of America
Mary Jarvis, Recording Secretary & Treasurer
2862 S. Peterson Road, Poplar, WI 54864
(715) 364-2646 * Email: grovelandfarm@supwi.com

Application for 5-Generation Pedigree

Complete form, print and mail it (via the postal service) to the address at the top of this page. Enclose check or money order in U.S. funds!
Owner's Name:
Farm Name: MSCA Registered:
Street Address:
Town:
State/Province:
Country: Zip or Country Code:
Phone: Email:

Dog's Name:
Registration #(s):

MSCA will provide a 5-generation pedigree if available. If five generations are not known, we will provide pedigree information as it is available.

Cost for the 5-generation pedigree is $5.00 in U.S. funds.

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