image: RHF logo

Rottweiler Health Foundation
Circle 2000 Registry
and Memorial Registry

APPLICATION


Name of Nominee: ___________________________________________________________
(dog/bitch, kennel name, or person's name up to 35 letters)
Date of Birth: _________________ Date of Death:  _________________  (if applicable)

Owner’s/Sponsor’s Name: ____________________________________________________________________
Address: ____________________________________________________________________
Telephone: _________________________________
Email: _________________________________  (important - please include email)


please check one:

I/we enclose a donation of $2000 to enter the above Rottweiler, kennel, or person as an Inductee to the Circle 2000 Registry.
I/we enclose a donation of $___________ ($500 minimum) to nominate the above Rottweiler, kennel, or person to the Circle 2000 Registry.  I/we understand that within a 24-month period, pledges totaling $2000 will recognize the above Rottweiler, kennel, or person as an 'Inductee to Circle 2000'.
I/we enclose a donation of $___________ ($25 minimum) to enter the above Rottweiler or person into the Memorial Registry.  Photo will be included if sent with donation.
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image: Rottweiler trotting

Upon induction to the Circle 2000 Registry, the Rottweiler, kennel name, or person’s name will permanently appear in the Circle 2000 Registry on the Rottweiler Health Foundation’s Website along with a picture or logo submitted by the owner or sponsor.  The owner/sponsor will receive a commemorative pin in recognition of their support of Rottweiler health research.
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Signature:________________________________           Date:  ________________
Please send completed application and donation made payable to the Rottweiler Health Foundation to:

Teresa Bradley
Rottweiler Health Foundation
16139 NE Boutelle Road
Battle Ground, WA  98604-9759


Thank you for caring - your generosity benefits ALL Rottweilers!
Funding Rottweiler Health Research in Honor and Memory of Special Rottweilers and Friends of the Rottweiler
© 2002-2006 Rottweiler Health Foundation Fundraising/Development