Breeder's Information Form/Code of Ethics Agreement

Please print out this form. Complete, sign and date it and mail to:

Dr. R.J. Russell, The CTCA, PO Box 600, Windsor, NY 13865

I have read the Coton de Tulear Club of America's [CTCA] Code of Ethics, 3.15.04 revision, with special attention to all the revisions, and I hereby agree to fully comply with the Code.

 

SIGNATURE: ________________________________________________

PRINT NAME: _______________________________________________

KENNEL NAME: ______________________________________________

Mailing Address:

_______________________________________________

_______________________________________________

_______________________________________________

Address you want listed on the CTCA's web site, state as above or:

_______________________________________________

_______________________________________________

_______________________________________________

If you only want your town and state listed, put a check here: _________

Telephone: __________________________________________

Cell Phone: _________________________________________

Fax: ________________________________________________

eMAIL for listing: __________________________________

eMAIL for CTCA breeder's list: ______________________________________

Web site URL* (if applicable): _______________________________________

(*please have a link to the CTCA web site www.CotonClub.com)

DATE: ___________________________

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