American Miniature Zebu Association P O Box 2095 Lady Lake, FL 32158 Phone: (352) 391-0977 amzaregistrar@gmail.com Online Breeding Memorandum Dam (include Herd Name): AMZA # Current Owner: Street Address: City: State: Zip Code: Email: Home Phone: Cell Phone: Were you the owner at time of conception? YesNo If no, please provide the following information: Owner Name (at time of conception): Street Address: City: State: Zip Code: Email: Home Phone: Cell Phone: If Dam has been exposed to more than 1 bull, please submit separate Breeding Memorandums for each exposure. Sire (include Herd Name): AMZA #: Date of Service: or exposure dates: From: Until: Owner At Time of Service: Street Address: City: State: Zip Code: Email: Home Phone: Cell Phone: Please read and checkmark: I/we certify the above is a true and correct statement/representation. I/we desire to have the same recorded in the American Miniature Zebu registry. YesNo Date:
