Animal Name____________________________________________DOB_______________ Private Herd Number_________________ Holding Brand_____________ OCV_________ TLBAA Registration Number__________________________________________________ Breeding Information: Exposed to: _______________________From__________________To_________________ Exposed to:_______________________From__________________To_________________ Catalog Comments:__________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Consignor Information: Name______________________________________________________________________ Address ___________________________________________________________________ City, State, Zip ______________________________________________________________ Email Address ______________________________________________________________ I have read and agree to the consignment rules for donating animals for the 50th Anniversary Golden Heifer Sale. I hereby authorize the TLBAA and their authorized personnel to sell these animals and do not hold the TLBAA or any person assisting with sale responsible for any loss of health, loss of life, loss by theft or other perils. I understand and agree that all guarantees are between the consignor and the purchaser and the TLBAA assumes no responsibility or liability for these guarantees.
______________________________________________ Signature of Consignor August 2013
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