PACK LLAMA TRIAL ASSOCIATION 

 


P.O. Box 388  Garberville, CA 95542                                      (707) 923-1016 cornomike@gotsky.com

 

 In order for your animal to be eligible for certification, a one time registration fee per llama is required for entry into sanctioned PLTA trials.  Once registered, you will be issued a number to be used on future trial entry forms.

 

 

Llama Registration Form

 

     (Please Print)

    Full Name of Llama:      ________________________________________________________

 

    ILR #:  ____________    Date of Birth:  ______________   Sex:   Male    Female    Gelding

                                                                                                                                   (Circle One)

    Owner's Name:   ____________________________________________________________

 

   Address:  __________________________________________________________________

 

                       City_______________________________State_____________Zip___________

 

    Phone:  ______________________________

 

   E-Mail:  ___________________________________________________________________

I certify that all information on this form is correct and appropriate to the llama listed

Owner or Owner Agent Signature:________________________________________________

Please make your check in the amount of $10.00 payable to the PLTA and return to:
PLTA

             P.O. Box 388

                            Garberville,CA 95542

 

For Office Use Only:

                                                                   

Date Received:                                                        Animal Registration #:___________

 

                                                                                                                                   Revised 9/2007

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