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Agent Authorization Form Use this form to designate others authorized by the Breeder/Client to sign on behalf of the Breeder/ Client: The signature of one agent will be accepted as sufficient unless other instruction are submitted below. WWSGA will consider this agent (s) authorized to sign on behalf of the Breeder/Client, until revised Authorized Agent Form is received by WWSGA. Designate the following person (s) to have the authority to sign all documents on behalf of me/ us. Name- Last: Name-First: Name-First: Name- Last: * ELECTRONIC SIGNATURE: Please type your name in the field above. Date: Jan. Feb. March April May June July Aug. Sept. Oct. Nov. Dec. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Additional Instructions or Comments: PLEASE EMAIL THIS FORM: By hitting Submit at the bottom of this page, Or USE, PRINT, DATE AND SIGN THE PDF FORM - Along with signed Online Product Agreement Send or Fax the printed form and make check payable to: WWSGA, Inc 18195 Flint Lemoore, CA 93245 PHONE: (559)903-0356 FAX: (559)925-7979 I verify by submitting this form that all information provided is true and correct to the best of my knowledge and that providing false information my result in my dismissal from World Wide Sheep & Goat Registry, Inc. * Electronic Forms will not be processed until payment has been received. Payment Method: Check Money Order Paypal Credit Thank You for being a part of WWSGA. Our service is for you!
Agent Authorization Form
Use this form to designate others authorized by the Breeder/Client to sign on behalf of the Breeder/ Client:
The signature of one agent will be accepted as sufficient unless other instruction are submitted below.
WWSGA will consider this agent (s) authorized to sign on behalf of the Breeder/Client, until revised Authorized Agent Form is received by WWSGA.
Designate the following person (s) to have the authority to sign all documents on behalf of me/ us.
Name- Last:
Name-First:
* ELECTRONIC SIGNATURE:
Please type your name in the field above.
Date:
Jan. Feb. March April May June July Aug. Sept. Oct. Nov. Dec. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Additional Instructions or Comments:
PLEASE EMAIL THIS FORM: By hitting Submit at the bottom of this page,
Or
USE, PRINT, DATE AND SIGN THE PDF FORM -
Along with signed Online Product Agreement
Send or Fax the printed form and make check payable to:
WWSGA, Inc
18195 Flint
Lemoore, CA 93245
PHONE: (559)903-0356
FAX: (559)925-7979
I verify by submitting this form that all information provided is true and correct to the best of my knowledge and that providing false information my result in my dismissal from World Wide Sheep & Goat Registry, Inc.
* Electronic Forms will not be processed until payment has been received.
Payment Method:
Check Money Order Paypal Credit
Thank You for being a part of WWSGA.
Our service is for you!
