Section I: Registration Information

Name of animal with herd name (max of 35 letters including blank spaces)

Registration Level: Foundation Pure Native Pure Native on Appearance
  
Birthday: Sex: Bull  Steer  Cow Single Birth Multiple

Breed:

 Naturally A. I.    ID type/#
  

Color
Gray: Red White
Black Brindle Paint
  

Horns:

 Horned    Dehorned Polled

Height:

 Withers   Hips   Measured by: Date:
Sire Information:

Name:

 (if unknown, put "UNKNOWN")
 

Registration:

 AMZA  IMZA     Registration Number:
 

Owner:
 
Dam Information:

Name:

 (if unknown, put "UNKNOWN")
 

Registration:

 AMZA  IMZA     Registration Number:
 

Owner:
   
Section 2: Owner/Breeder Information (or seller if used with transfer)
 
Name:
 
Address:
City:
State:
Zip:
Email:
AMZA: YES NO 
  
Section 3:  Transfer Information
 
Name:
 
Address:
City:
State:
Zip:
Email:
Date of Sale:
AMZA: YES NO 

 
  

Comments: 
  

I AGREE

I DO NOT AGREE

 By submitting this form, I certify the information provided is correct and accurate to be best of my knowledge. I  understanding by knowingly misrepresenting any information will result in IMMEDIATE termination of the animals AMZA registration AND a revocation of my membership into the American Miniature Zebu Association.  If termination and/or revocation occurs, NO REFUNDS WILL BE ISSUED.