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Maremma Sheepdog Club of America
Application To Register A Farm/Ranch Name
First Name
*
Last Name
*
Street Address
*
City
*
State/Province/Region
*
Zip/Postal Code
*
Phone Number
*
Email Address
*
You must be a FULL member (or have applied for full membership)
AND own at least 1 (one) MSCA registered Maremma Sheepdog
to apply for a registered farm/ranch name.
LIFETIME Registered Farm/Ranch Name
1st Name Choice:
*
2nd Name Choice:
Type(s) of Livestock:
*
Sheep
Goats
Alpacas/Llamas
Cattle
Pigs
Poultry
Other
Other
Number of acres:
*
Online Fee
*
Register Farm/Ranch Name ($10.00)
Date:
*
+
Signature
*
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