American Bucking Bull, Inc. - The Foundation for the ...



Request form is for 2010 Born Bulls Registered by July 31, 2011.*

If a 2010 Born Bull is submitted for registration after July 31st 2011 or if a tag is not requested by July 31st 2011, the bull must be Age Verified by a Certified Veterinarian according to the listed guidelines in the Rule Book. EID tags will be issued by the ABBI office once the Age Certification is received. Bulls must be aged according the ABBI approved mouth chart to be EID tagged and be verified to be 34 months or less.

*If a 2011 born bull has been registered prior to April 1st, 2011, the EID tag must also be requested by July 31st, 2011.   

Member Name: ________ _______ Member #: _____________

Shipping Address: _________________________________________________________________

City: ______________________________State: ZIP/Postal Code: _______ Country: ________

Contact Phone: _______ E-mail: ________________________________

*Please complete all information for each animal you are requesting an EID tag for. Please submit additional pages if needed.

|Bull’s ABBI Registration |Registered Herd # |Bull Name |Office Use Only EID Tag |

|Number | | |Number Assigned |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

___ Tags Requested X $15.00 per tag = $ Total +$3.75 (Shipping and Handling)

___ Destron Fearing ProGrip Universal Applicator X $35.00 each = $ Total +Shipping and Handling

Payment must be received at time of the request. US Funds ONLY.

Master Card, Visa, American Express, Discover, Cashier’s Check, Check, or Money Order accepted.

Remit forms and payments to: ABBI 101 W. Riverwalk, Pueblo CO 81003

Fax 719-242-2746. Please call 719-242-2747 to verify receipt of the fax.

Authorized signature for the credit card list below: __________________________________________

Name on Credit Card: ____________________________________ Type: (VISA/MC/AMEXP/Discover)

Card Number: ___________________________________________________________________________

Billing Address: ___________________________ City___________ State/Province _______ Country______

Exp. Date: ___________CSV ___________ (back of card) Billing ZIP/POSTAL: ______________________

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American Bucking Bull, Inc.

101 W. Riverwalk, Pueblo, CO 81003

Phone: 719-242-2747 Fax: 719-242-2746



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EID Tag Order Form

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