Litter Submission - Health Clearance Rebate Application - Jantel Fund

Litter Submission – Health Clearance Rebate Application – Jantel Fund

The Jantel Fund is pleased to be able to offer Society breeder members a rebate covering OFA litter clearance charges ($120 USD) when hip (and elbow, patella) x-rays for 3 or more littermates are submitted together. All the dogs do not need to be under the same ownership, but the results for all dogs must be published on the OFA database – normal and abnormal.

Date

Breeder Member Name

First Last

Kennel Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Can this email address be used for e-transfer of funds?

Yes

Litter Sire

Litter Dam

Litter Date of Birth

Littermate List – minimum 3 dogs must be listed

#1 – Dog name

#2 – Dog name

#3 – Dog name

Litter Submission – Health Clearance Rebate Application – Jantel Fund