Hog Registration Form

DON'T USE THIS FORM UNLESS YOU ARE FAMILIAR WITH OUR FAQ AND REGISTRATION PROCEDURE!

Please fill in the online form below to request a Registration Certificate which we will send to you once all requirements are met. If you later sell your hog, provide the original certificate to your customer. Then instruct the customer to send it to us when they want to transfer the registration to their name.

* Has this hog been previously registered? (if so, attach copy of Registration Certificate below)

Yes

No

Previous Registry

LBHA

NALBPR (Ted Smith)

Other

* Was this hog including in a previous LBHA Litter Certificate? (if so, attach copy of Litter Certificate below)

Yes

No

* Does the hog have correct ear notches?

Yes

No

* Sire's Registered Name and Number (Registration Format)

* Dam's Registered Name and Number (Registration Format)

* This Hog's Name and Number (Registration Format)

* Date of Birth

* Sex

Male

Female

* Seller's Name

* Date of Purchase

Attach any pertinent documents. This would include the Litter Certificate or previous Registration Certificate for this hog.

Name of Farm / Person to be listed as the owner:

Farm Name

* First Name

* Last Name

* Address 1

Address 2

* City

* State

* Postal Code

* Phone

Email Address

Comments

0/200 characters

The fee for this registration is $10.00 (U.S.) Please remember to pay for this registration on our "PayPal Forms" page.

If you choose to pay by check, please make it out to "LBHA" and mail it to:

LBHA

c/o David Dalan

PO Box 3325

Walla Walla, WA 99362

* Indicates Response Required