DP Sales Management

Doug Parke
153 Bourbon Hills
Paris, KY 40361
office@dpsalesllc.com

Home: 859-987-5758
Fax: 859-987-0709
Cell: 859-421-6100

Simmental Nomination Form

Return this COMPLETED FORM, a NOMINATION FEE OF $100.00 per lot,
as well as a photograph to DP Sales Management either via email or regular mail.
Sale Name
Consignor ASA Membership #
Address
Phone

Cell Phone
Email Address
 (Required)
(THE) Program 

Yes 

No 
Sale Animal Information
Type (Choose One)  
Animal's Name Tattoo LE RE BE
ASA# Choose One

Horned 

Polled 

Scurred 
Date of Birth
mm/dd/yyyy		 Choose One

Fullblood 

Purebred 

Percentage 
 Homo Polled          Homo Black
Only click if proper testing has been completed.
Pedigree  
Sire Name Sire ASA#
Dam Name Dam ASA#
Breeding Information
Female Sells

Open 

Exposed 

Safe In Calf 
Due date: / /
A. I. Breeding Information
AI Sire ASA#
Service Date / /
mm/dd/yyyy
Pasture Exposed information / dates
Natural Service Sire ASA#
In date: / /
mm/dd/yyyy		    
Out date: / /
mm/dd/yyyy		    
Service Date / /
mm/dd/yyyy		    
Natural Service Sire 2 ASA# 2
In date 2: / /
mm/dd/yyyy		    
Out date 2: / /
mm/dd/yyyy		    
Service Date 2 / /
mm/dd/yyyy		    
Calf At Side
Date of Birth / / mm/dd/yyyy Sex
Birth Weight Tattoo LE RE BE
Sire of Calf ASA#
Catalog Footnotes

800 character limit

 No - I will provide my own footnote 
 Yes - charge me $25 for footnote 
Effective as of August 20, 2010 it is DP Sales Management policy that there will be a $25 service charge to anyone that does not provide a footnote per entry.
Please send photos to office@dpsalesllc.com.
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