Euro Russell Club of America Registration Form 15561 90th Ave Indianola, IA 50125 Registration fee: $20 for members $25 non-members per puppy or dog. You do not have to become a member to register your puppy/dog. Must include 3 pictures of your puppy/dog. One front and one right and left side view. 3x5 or 4x5 acceptable. Please send in form along with payment to address listed above or pay online. International registration is welcome. All fees must be paid in US dollars. I hereby present the following terrier for ERCA registration: TERRIER'S NAME:____________________________________________________ BORN: _____________ SEX: _____Male _____Female  ____Spayed/Neutered HEIGHT: ___________inches. (measure from floor to top of withers) COAT:   _____Smooth   _____Broken   _____Rough    COAT COLOR: (check one) Solid______        Pied______ MAIN COAT COLOR:(check one) Black____ Fawn____ Red____ Black/Tan_____ INFORMATION ON THE SIRE: Name: ______________________________________ERCA Reg #(if applies)________ Height: ______ inches at withers  Coat: ___Smooth ___Broken  ___Rough Coat color: (check one)   Solid______      Pied______ Main coat color: (check one) Black____ Fawn____ Red____ Black/Tan____ Owner:_____________________________________________________________ Address: ___________________________________________________________ City: ___________________State: ______ Zip: _________ Phone: ______________ INFORMATION ON THE DAM: Name: ______________________________________ERCA Reg #(if applies)________ Height: __________   inches at withers    Coat:   ___ Smooth  ___ Broken   ___Rough Coat color: (check one)   Solid_______       Pied______ Main coat color: (check one)  Black____  Fawn____  Red____ Black/Tan____   Owner: _____________________________________________________________ Address: ____________________________________________________________ City: __________________ State: ______ Zip: _________ Phone: ______________ TERRIER OWNED BY: Name:_____________________________________________________________ Address: ___________________________________________________________ City: _________________ State: ______ Zip: ___________  Country: __________ Home Phone: ________________________________ Email: _____________________________________ Owner's Signature: ____________________________________Date:____________