| Name of Nominee: | ___________________________________________________________ (dog/bitch, kennel name, or person's name up to 35 letters) |
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| Date of Birth: | _________________ | Date of Death: _________________ (if applicable) | |
| Owners/Sponsors Name: | ____________________________________________________________________ | ||
| Address: | ____________________________________________________________________ | ||
| Telephone: | _________________________________ | ||
| Email: | _________________________________ | (important - please include email) | |
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| 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'.
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| 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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Upon induction to the Circle 2000 Registry, the Rottweiler, kennel name, or
persons name will permanently appear in the Circle 2000 Registry on the Rottweiler Health Foundations
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:
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Thank
you for caring - your generosity benefits ALL Rottweilers! |
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