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The Australian Kelpie Muster
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Dog Auction Form
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Vendor Details
Name
*
First
Last
Stud Name
Contact Number
*
Email Address
*
Postal Address
*
GST Registered
*
Please select Yes or No
YES
NO
ABN (if applicable)
Breeder Source Number
*
Direct Deposit (for proceeds)
Account Name
*
BSB
*
Account Number
*
Dog Details
Dog Name
*
WKC Registered
*
Please Select Yes, No , Or Pending
YES
NO
PENDING
Prefix
Microchip Number
*
Date Implanted
*
Gender
*
Please select Male or Female
Male
Female
Desexed
*
Please select Yes or No
YES
NO
Date of Birth
*
Breed
*
Colour
*
Sire
Dam
Medical History
Last Vaccination Date
*
Vaccination record available
*
Please select Yes or No
YES
NO
Last Worming Date
*
Worming record available
*
Please select Yes or No
YES
NO
Last Flea/Tick Treatment
*
Flea/Tick Treatment record available
*
Please select Yes or No
YES
NO
Dog Ability Level
Please Select Ability Level
Starting
Started
Well-started
Trained
Experienced
Any other comments
Catalogue description (For AuctionsPlus and Physical Catalogue)
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Select option to Upload sample video (for balloting)
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URL
Upload a Sample Video
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Website / URL
Auction Entry Payment
Price:
$ 100.00
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Card
Name on Card
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