Printed

TITLES CLAIM FORM
CHAMPIONSHIP / PREMIERSHIP /
COMPANIONSHIP
Requests for Championship / Premiership / Companionship confirmation should be submitted on this official "Claim
Form" or facsimile. It must be sent to National Scorer before the opening day of the next show in which the cat is entered
OR you may give the form to the Master Clerk at the end of the Show. Owners may transfer their cat to Champion,
Premier or Companion with the Master Clerk at the beginning of the next Show without receiving confirmation, but in so
doing, fully acknowledge and understand without reservation that NO GRAND POINTS will be allocated from wins at
subsequent shows until confirmation of Championship / Premiership /Companionship has been verified by Central
Registry. The current fee for Claims is $5. CERTIFICATES will be issued to confirm wins, after verification, on receipt
of Claim Form and appropriate fee.
NOTE: Cats registered with another Cat Registry may enter CATZ Inc. Shows without being registered with CATZ Inc.
BUT may only claim wins at these shows, or have points count towards CATZ Inc. titles if registered with CATZ Inc.
within 21 days of the show in respect of which the wins were made. This includes points gained towards National Wins.
Owners of cats registered with another registry should attach a Registration Application to this form. Along with a copy of
their cat's Certificate of Registration and a copy of 4 generation (not including cat) Pedigree. Imported cats require a
CERTIFIED PEDIGREE.
Owner: …………………………………………………….
Catz Inc. Reg No: ........................................
Cat's Name: (Include Catz Inc. titles) ……………………………………………………………………………………………….
Address: ………………………………………………………………………………………………………………………………..
Title being
claimed
Check One
[
[
[
[
[
[
[
] CHAMPION
] GRAND CHAMPION
] DB.GR.CHAMPION
] BR.KO.DB.GR.CHAMPION
] SIL.KO.DB.GR.CHAMPION
] GD.KO.DB.GR.CHAMPION
] SUP.DB.GR.CHAMPION
[
[
[
[
[
[
[
] PREMIER
] GRAND PREMIER
] DB.GR.PREMIER
] BR.KO.DB.GR.PREMIER
] SIL.KO.DB.GR.PREMIER
] GD.KO.DB.GR.PREMIER
] SUP.DB.GR.PREMIER
[
[
[
[
[
[
[
] COMPANION
] GRAND COMPANION
] DB.GR.COMPANION
] BR.KO.DB.GR.COMPANION
] SIL.KO.DB.GR.COMPANION
] GD.KO.DB.GR.COMPANION
] SUP.DB.GR.COMPANION
(If you are unsure as to what points to claim, please leave that column blank)
Show Date
Show Name & Location
Judge
Ring No.
Method of Payment:
Direct Banking [ ]
Cheque [ ]
Credit Card (Details on file) [ ]
Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Points
Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Please make cheque payable to Catz Inc. and post with completed form to: Catz Inc. National Scorer:
1/20 Hellyers Street, Birkdale, Auckland 0626 (Ph: 09 483 7533) OR e-mail form to [email protected]
if paying by Credit Card or Bank Direct.