Dog Auction Form

Name *

First

Last

Stud Name

Contact Number *

Email Address *

Postal Address *

GST Registered *

Breeder Source Number *

Dog Name *

WKC Registered *

Microchip Number *

Date Implanted *

Gender *

Desexed *

Date of Birth *

Breed *

Colour *

Sire

Dam

Last Vaccination Date *

Vaccination record available *

Last Worming Date *

Worming record available *

Last Flea/Tick Treatment *

Flea/Tick Treatment record available *

Dog Ability Level

Any other comments

Catalogue description (For AuctionsPlus and Physical Catalogue) *