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<title>Inschrijven IJsselshow</title>
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<form action="MAILTO:test@gmail.com" method="post" enctype="text/plain">
<p>
<h2>
<sup>Inschrijfformulier</sup> <img border="0" src="http://www.ijsselshow.nl/nederlands/afbeeldingen/logo.jpg" width="200" height="37" /> <sup>2009</sup>
</h2>
</p>
<p>
Ras / Breed:
<form action="">
<select name="ras ">
<option value=""/option>
<option value="australian shepherd">Australian Shepherd </option>
<option value="affenpinscher ">Affenpinscher </option>
<option value="afghaanse hond ">Afghaanse Hond </option>
<option value="aidi ">Aidi </option>
<option value="airedale terrier ">Airedale Terrier </option>
<option value="akita_inu ">Akita Inu </option>
<option value="alaska malamute ">Alaska Malamute </option>
<option value="alpenländische daschbracke ">Alpenländische Daschbracke </option>
<option value="american cocker spaniel ">American Cocker Spaniel </option>
<option value="american foxhound ">American Foxhound </option>
<option value="amerikaanse staffordshire terrier ">Amerikaanse Staffordshire Terrier </option>
<option value="amerikaanse waterspaniel ">Amerikaanse Waterspaniel </option>
<option value="anatolische herdershond ">Anatolische Herdershond </option>
<option value="anglo-français de petite vénerie ">Anglo-Français de petite vénerie </option>
<option value="appenzeller sennenhond ">Appenzeller Sennenhond </option>
<option value="ariëgeois ">Ariëgeois </option>
<option value="australian cattle dog ">Australian Cattle Dog </option>
<option value="australian silky terrier ">Australian Silky Terrier </option>
<option value="australische terrier ">Australische Terrier </option>
<option value="azawakh ">Azawakh </option>
<option value="barbet ">Barbet </option>
<option value="barzoi ">Barzoi </option>
<option value="basenji ">Basenji </option>
<option value="basset artésien normand ">Basset artésien normand </option>
<option value="basset bleu de gascogne ">Basset bleu de Gascogne </option>
<option value="basset fauve de bretagne ">Basset fauve de Bretagne </option>
<option value="basset hound ">Basset Hound </option>
<option value="beagle ">Beagle </option>
<option value="beagle-harrier ">Beagle-Harrier </option>
<option value="bearded collie ">Bearded Collie </option>
<option value="beauceron ">Beauceron </option>
<option value="bedlington terrier ">Bedlington Terrier </option>
<option value="beierse bergspeurhond ">Beierse Bergspeurhond </option>
<option value="belgische herdershond ">Belgische Herdershond </option>
<option value="bergamasco herdershond ">Bergamasco herdershond </option>
<option value="berger des pyrénées ">Berger des Pyrénées </option>
<option value="berghond van de maremmen ">Berghond van de Maremmen </option>
<option value="berner laufhund ">Berner Laufhund </option>
<option value="berner niederlaufhund ">Berner Niederlaufhund </option>
<option value="berner sennenhond ">Berner Sennenhond </option>
<option value="bichon frise ">Bichon Frise </option>
<option value="billy ">Billy </option>
<option value="black and tan coonhound ">Black and Tan Coonhound </option>
<option value="bloedhond ">Bloedhond </option>
<option value="bolognezer ">Bolognezer </option>
<option value="bordeaux dog ">Bordeaux Dog </option>
<option value="border collie ">Border Collie </option>
<option value="border terrier ">Border Terrier </option>
<option value="bosanski ostrodlaki gonic barak ">Bosanski Ostrodlaki Gonic Barak </option>
<option value="boston terrier ">Boston Terrier </option>
<option value="bouvier des ardennes ">Bouvier des Ardennes </option>
<option value="bouvier des flandres ">Bouvier des Flandres </option>
<option value="bracco italiano ">Bracco Italiano </option>
<option value="brandlbracke ">Brandlbracke </option>
<option value="braque ">Braque </option>
<option value="braque d'auvergne ">Braque d'Auvergne </option>
<option value="braque de l'ariège ">Braque de l'Ariège </option>
<option value="braque du bourbonnais ">Braque du Bourbonnais </option>
<option value="braque français gascogne ">Braque français Gascogne </option>
<option value="braque français pyrénées ">Braque français Pyrénées </option>
<option value="braque saint-germain ">Braque Saint-Germain </option>
<option value="briard ">Briard </option>
<option value="briquet griffon vendéen ">Briquet griffon vendéen </option>
<option value="broholmer ">Broholmer </option>
<option value="bruno du jura">Bruno du Jura</option>
<option value="bull terrier ">Bull Terrier </option>
<option value="bulldog ">Bulldog </option>
<option value="bullmastiff ">Bullmastiff </option>
<option value="ca de bestiar ">Ca de Bestiar </option>
<option value="ca de bou ">Ca de Bou </option>
<option value="cairn terrier ">Cairn Terrier </option>
<option value="cane corso italiano ">Cane Corso Italiano </option>
<option value="cão da serra de aires ">Cão da Serra de Aires </option>
<option value="cao de castro laboreiro ">Cao de Castro Laboreiro </option>
<option value="cavalier king charles spaniel ">Cavalier King Charles Spaniel </option>
<option value="centraal.aziatische owcharka ">Centraal.Aziatische Owcharka </option>
<option value="ceskoslovensky vlcak ">Ceskoslovensky Vlcak </option>
<option value="cesky fousek ">Cesky Fousek </option>
<option value="cesky terrier ">Cesky Terrier </option>
<option value="chart polski ">Chart Polski </option>
<option value="chesapeake bay retriever ">Chesapeake Bay Retriever </option>
<option value="chien d'artois ">Chien d'Artois </option>
<option value="chihuahua ">Chihuahua </option>
<option value="chihuahua ">Chihuahua </option>
<option value="chinees gekuifde naakthond ">Chinees Gekuifde Naakthond </option>
<option value="chow chow ">Chow Chow </option>
<option value="cirneco dell'etna ">Cirneco dell'Etna </option>
<option value="clumber spaniel ">Clumber Spaniel </option>
<option value="continentale dwergspaniels ">Continentale Dwergspaniels </option>
<option value="coton de tuléar ">Coton de Tuléar </option>
<option value="curly coated retriever ">Curly Coated Retriever </option>
<option value="dalmatier ">Dalmatier </option>
<option value="dandie dinmont terrier ">Dandie Dinmont Terrier </option>
<option value="deerhound ">Deerhound </option>
<option value="dobermann ">Dobermann </option>
<option value="dogo argentino ">Dogo Argentino </option>
<option value="dogo canario ">Dogo Canario </option>
<option value="drentse patrijshond ">Drentse Patrijshond </option>
<option value="drever ">Drever </option>
<option value="duitse boxer ">Duitse Boxer </option>
<option value="duitse brak ">Duitse Brak </option>
<option value="duitse dog ">Duitse Dog </option>
<option value="duitse herdershond ">Duitse Herdershond </option>
<option value="duitse jachtterrier ">Duitse jachtterrier </option>
<option value="duitse staande hond draadhaar ">Duitse Staande Hond draadhaar </option>
<option value="duitse staande hond korthaar ">Duitse Staande Hond korthaar </option>
<option value="duitse staande hond langhaar ">Duitse Staande hond Langhaar </option>
<option value="duitse stekelhaar ">Duitse Stekelhaar </option>
<option value="duitse wachtel ">Duitse Wachtel </option>
<option value="duitse wolfspits ">Duitse Wolfspits </option>
<option value="dwerg teckel ">Dwerg teckel </option>
<option value="dwerg-terriers ">Dwerg-Terriers </option>
<option value="dwergdoggen ">Dwergdoggen </option>
<option value="dwergpinscher ">Dwergpinscher </option>
<option value="dwergpoedel ">Dwergpoedel </option>
<option value="dwergschnauzer ">Dwergschnauzer </option>
<option value="dwergspits ">Dwergspits </option>
<option value="engelse cocker spaniel ">Engelse Cocker Spaniel </option>
<option value="engelse setter ">Engelse Setter </option>
<option value="engelse springer spaniel ">Engelse Springer Spaniel </option>
<option value="engelse toy terrier ">Engelse Toy Terrier </option>
<option value="english pointer ">English Pointer </option>
<option value="entlebucher sennenhond ">Entlebucher Sennenhond </option>
<option value="epagneul bleu de picardie ">Epagneul bleu de Picardie </option>
<option value="epagneul breton ">Epagneul Breton </option>
<option value="epagneul de pont-audemer ">Epagneul de Pont-Audemer </option>
<option value="epagneul français ">Epagneul français </option>
<option value="epagneul picard ">Epagneul picard </option>
<option value="estrela berghond ">Estrela Berghond </option>
<option value="eurasier ">Eurasier </option>
<option value="europese spits ">Europese spits </option>
<option value="field spaniel ">Field Spaniel </option>
<option value="fila brasiliero ">Fila Brasiliero </option>
<option value="finse lappenhond ">Finse Lappenhond </option>
<option value="finse rendierherdershond ">Finse rendierherdershond </option>
<option value="finse spits ">Finse spits </option>
<option value="flat coated retriever ">Flat Coated Retriever </option>
<option value="fox terrier (draadhaar) ">Fox Terrier (draadhaar) </option>
<option value="fox terrier (gladhaar) ">Fox Terrier (gladhaar) </option>
<option value="foxhound ">Foxhound </option>
<option value="francais blanc et noir ">Francais blanc et noir </option>
<option value="français blanc et orange ">Français blanc et orange </option>
<option value="francais tricolore ">Francais Tricolore </option>
<option value="franse bulldog ">Franse Bulldog </option>
<option value="galgo espanol ">Galgo Espanol </option>
<option value="gammel dansk hønsehund ">Gammel Dansk Hønsehund </option>
<option value="golden retriever ">Golden Retriever </option>
<option value="gordon setter ">Gordon Setter </option>
<option value="gos d'atura catalá ">Gos d'Atura Catalá </option>
<option value="grand anglo-français ">Grand anglo-français </option>
<option value="grand anglo-français tricolore ">Grand anglo-français tricolore </option>
<option value="grand basset griffon vendéen ">Grand Basset griffon vendéen </option>
<option value="grand bleu de gascogne ">Grand bleu de Gascogne </option>
<option value="grand gascon saintongeois ">Grand gascon saintongeois </option>
<option value="grand griffon vendéen ">Grand griffon vendéen </option>
<option value="great japanese dog">Great Japanese Dog</option>
<option value="greyhound ">Greyhound </option>
<option value="griffon belge ">Griffon belge </option>
<option value="griffon bleu gascogne ">Griffon bleu Gascogne </option>
<option value="griffon bruxellois ">Griffon Bruxellois </option>
<option value="griffon fauve bretagne ">Griffon fauve Bretagne </option>
<option value="griffon nivernais ">Griffon nivernais </option>
<option value="groenendaler ">Groenendaler </option>
<option value="groenlandse hond">Groenlandse hond</option>
<option value="grote munsterlander ">Grote Munsterlander </option>
<option value="grote poedel ">Grote Poedel </option>
<option value="grote spits ">Grote spits </option>
<option value="grote zwitserse sennenhond ">Grote Zwitserse Sennenhond </option>
<option value="halden brak ">Halden Brak </option>
<option value="hamilton stovare ">Hamilton Stovare </option>
<option value="hannoveraanse speurhond ">Hannoveraanse Speurhond </option>
<option value="harrier ">Harrier </option>
<option value="havanezer ">Havanezer </option>
<option value="heidewachtel ">Heidewachtel </option>
<option value="hellinikos ichnilatis ">Hellinikos Ichnilatis </option>
<option value="hokkaïdo ">Hokkaïdo </option>
<option value="hollandse herdershond ">Hollandse Herdershond </option>
<option value="hollandse smoushond ">Hollandse Smoushond </option>
<option value="hongaarse staande hond draadhaar ">Hongaarse Staande Hond draadhaar </option>
<option value="hongaarse staande hond korthaar ">Hongaarse Staande Hond korthaar </option>
<option value="hongaarse windhond ">Hongaarse Windhond </option>
<option value="hoogbenige terrier ">Hoogbenige Terrier </option>
<option value="hovawart ">Hovawart </option>
<option value="hrvatski ovcar ">Hrvatski Ovcar </option>
<option value="hygen brak ">Hygen brak </option>
<option value="ierse rode setter ">Ierse Rode Setter </option>
<option value="ierse setter">Ierse Setter</option>
<option value="ierse terrier ">Ierse Terrier </option>
<option value="ierse water spaniel ">Ierse Water Spaniel </option>
<option value="ierse wolfshond ">Ierse Wolfshond </option>
<option value="ijslandse herdershond ">IJslandse Herdershond </option>
<option value="irish glen of imaal terrier ">Irish Glen of Imaal Terrier </option>
<option value="irish soft coated wheaten ">Irish Soft Coated Wheaten </option>
<option value="istarski kratkodlaki gonic ">Istarski Kratkodlaki Gonic </option>
<option value="istarski ostrodlaki gonic ">Istarski Ostrodlaki Gonic </option>
<option value="italiaans windhondje ">Italiaans Windhondje </option>
<option value="italiaanse laufhund ">Italiaanse Laufhund </option>
<option value="jack russell terrier ">Jack Russell Terrier </option>
<option value="japanese terrier ">Japanese Terrier </option>
<option value="japanse spaniel ">Japanse Spaniel </option>
<option value="japanse spaniel en pekingesen ">Japanse Spaniel en Pekingesen </option>
<option value="japanse spits ">Japanse Spits </option>
<option value="jugoslavische herdershond ">Jugoslavische Herdershond </option>
<option value="jura niederlaufhund ">Jura Niederlaufhund </option>
<option value="kai ">Kai </option>
<option value="kanaanhond ">Kanaanhond </option>
<option value="kaninchen dashond ">Kaninchen Dashond </option>
<option value="karelische berenhond ">Karelische berenhond </option>
<option value="kaukasische herdershond ">Kaukasische Herdershond </option>
<option value="kelpie ">Kelpie </option>
<option value="kerry blue terrier ">Kerry Blue Terrier </option>
<option value="king charles spaniel ">King Charles Spaniel </option>
<option value="kishu ">Kishu </option>
<option value="kleine belgische hondenrassen ">Kleine Belgische hondenrassen </option>
<option value="kleine spits ">Kleine spits </option>
<option value="komondor ">Komondor </option>
<option value="kooikerhondje ">Kooikerhondje </option>
<option value="korthals ">Korthals </option>
<option value="kraski ovcar ">Kraski Ovcar </option>
<option value="kromfohrländer ">Kromfohrländer </option>
<option value="kromfohrländer ">Kromfohrländer </option>
<option value="kuvasz ">Kuvasz </option>
<option value="laagbenige terrier ">Laagbenige Terrier </option>
<option value="labrador retriever ">Labrador Retriever </option>
<option value="lakeland terrier ">Lakeland Terrier </option>
<option value="lakense herder ">Lakense Herder </option>
<option value="landseer ">Landseer </option>
<option value="leeuwhondje ">Leeuwhondje </option>
<option value="leonberger ">Leonberger </option>
<option value="lhasa apso ">Lhasa Apso </option>
<option value="luzerner laufhund ">Luzerner Laufhund </option>
<option value="luzerner niederlaufhund ">Luzerner Niederlaufhund </option>
<option value="maltezer ">Maltezer </option>
<option value="manchester terrier ">Manchester Terrier </option>
<option value="mastiff ">Mastiff </option>
<option value="mastin espanol ">Mastin Espanol </option>
<option value="mastino napolitano ">Mastino Napolitano </option>
<option value="mechelaar ">Mechelaar </option>
<option value="mexicaanse naakthond ">Mexicaanse Naakthond </option>
<option value="midden spits ">Midden spits </option>
<option value="middenslag poedel ">Middenslag Poedel </option>
<option value="mopshond">Mopshond</option>
<option value="mudi ">Mudi </option>
<option value="nachtvlinderhondje ">Nachtvlinderhondje </option>
<option value="newfoundlander ">Newfoundlander </option>
<option value="noorse buhund ">Noorse Buhund </option>
<option value="noorse dunker ">Noorse Dunker </option>
<option value="noorse elandhond grijs ">Noorse Elandhond Grijs </option>
<option value="noorse elandhond zwart ">Noorse Elandhond Zwart </option>
<option value="noorse jachthond ">Noorse jachthond </option>
<option value="noorse lundehund ">Noorse Lundehund </option>
<option value="noorse waak- en herdershond ">Noorse waak- en herdershond </option>
<option value="norbotten spits ">Norbotten spits </option>
<option value="norfolk terrier ">Norfolk Terrier </option>
<option value="norwich terrier ">Norwich Terrier </option>
<option value="nova scotia duck tolling retriever ">Nova Scotia Duck Tolling Retriever </option>
<option value="oertype ">Oertype </option>
<option value="old english sheepdog ">Old English Sheepdog </option>
<option value="oostenrijkse pinscher ">Oostenrijkse Pinscher </option>
<option value="oostsiberische laika ">Oostsiberische Laika </option>
<option value="otterhound ">Otterhound </option>
<option value="parson russell terrier ">Parson Russell Terrier </option>
<option value="pekingees ">Pekingees </option>
<option value="perdiguero de burgos ">Perdiguero de Burgos </option>
<option value="peruaanse naakthond ">Peruaanse naakthond </option>
<option value="petit basset griffon vendéen ">Petit Basset griffon vendéen </option>
<option value="petit bleu de gascogne ">Petit bleu de Gascogne </option>
<option value="petit brabançon ">Petit Brabançon </option>
<option value="petit gascon saintongeois ">Petit gascon saintongeois </option>
<option value="pharao hond ">Pharao hond </option>
<option value="picardische herdershond ">Picardische herdershond </option>
<option value="pinscher ">Pinscher </option>
<option value="pinscher ">Pinscher </option>
<option value="planinski gonic ">Planinski Gonic </option>
<option value="podenco canario ">Podenco Canario </option>
<option value="podenco ibicenco ">Podenco Ibicenco </option>
<option value="podengo portugues ">Podengo Portugues </option>
<option value="poedelpointer ">Poedelpointer </option>
<option value="poitevin ">Poitevin </option>
<option value="polski owczarek nizinny ">Polski Owczarek Nizinny </option>
<option value="poolse brak ">Poolse Brak </option>
<option value="porcelaine ">Porcelaine </option>
<option value="portugese pointer ">Portugese Pointer </option>
<option value="portugese waterhond ">Portugese waterhond </option>
<option value="posavki gonic ">Posavki Gonic </option>
<option value="puli ">Puli </option>
<option value="pumi ">Pumi </option>
<option value="pyrenese berghond ">Pyrenese Berghond </option>
<option value="pyrenese mastiff ">Pyrenese Mastiff </option>
<option value="rafeiro van alentejo ">Rafeiro van Alentejo </option>
<option value="rhodesian ridgeback">Rhodesian Ridgeback</option>
<option value="riesenschnauzer ">Riesenschnauzer </option>
<option value="rottweiler ">Rottweiler </option>
<option value="russisch-europese laika ">Russisch-Europese Laika </option>
<option value="saarloos wolfhond ">Saarloos Wolfhond </option>
<option value="saluki ">Saluki </option>
<option value="samojeed ">Samojeed </option>
<option value="schapendoes ">Schapendoes </option>
<option value="schillerstövare ">Schillerstövare </option>
<option value="schipperke ">Schipperke </option>
<option value="schnauzer ">Schnauzer </option>
<option value="schnauzer middenslag ">Schnauzer middenslag </option>
<option value="schotse herdershond ">Schotse Herdershond </option>
<option value="schotse terrier ">Schotse Terrier </option>
<option value="sealyham terrier ">Sealyham Terrier </option>
<option value="servische laufhund ">Servische Laufhund </option>
<option value="shar pei ">Shar Pei </option>
<option value="shetland sheepdog ">Shetland Sheepdog </option>
<option value="shiba inu ">Shiba Inu </option>
<option value="shih tzu ">Shih Tzu </option>
<option value="shikoku ">Shikoku </option>
<option value="shiloh shepherd ">Shiloh Shepherd </option>
<option value="siberian husky ">Siberian Husky </option>
<option value="sint bernhardshond ">Sint Bernhardshond </option>
<option value="skye terrier ">Skye Terrier </option>
<option value="sloughi ">Sloughi </option>
<option value="slovensky hrubosrsty stavac ">Slovensky Hrubosrsty Stavac </option>
<option value="slovensky kopov ">Slovensky Kopov </option>
<option value="slowaakse tchouvatch ">Slowaakse Tchouvatch </option>
<option value="smålandsstövare ">Smålandsstövare </option>
<option value="smoushond ">Smoushond </option>
<option value="spaanse drijfhond ">Spaanse drijfhond </option>
<option value="spaanse waterhond ">Spaanse Waterhond </option>
<option value="spinone italiano ">Spinone Italiano </option>
<option value="stabyhoun ">Stabyhoun </option>
<option value="staffordshire bull terrier ">Staffordshire Bull Terrier </option>
<option value="steirische ruwhaarbrak ">Steirische Ruwhaarbrak </option>
<option value="suomenajokoira ">Suomenajokoira </option>
<option value="sussex spaniel ">Sussex Spaniel </option>
<option value="tatra herdershond ">Tatra herdershond </option>
<option value="tchiorny terrier ">Tchiorny Terrier </option>
<option value="tchiorny terrier ">Tchiorny Terrier </option>
<option value="teckel">Teckel</option>
<option value="terrier ">Terrier </option>
<option value="tervueren">Tervueren</option>
<option value="thai ridgeback dog">Thai Ridgeback Dog</option>
<option value="tibetaanse hondenrassen ">Tibetaanse Hondenrassen </option>
<option value="tibetaanse mastiff ">Tibetaanse Mastiff </option>
<option value="tibetaanse spaniel ">Tibetaanse Spaniel </option>
<option value="tibetaanse terrier ">Tibetaanse Terrier </option>
<option value="tiroler brak ">Tiroler Brak </option>
<option value="tosa ">Tosa </option>
<option value="toypoedel ">Toypoedel </option>
<option value="transylvaanse brak ">Transylvaanse Brak </option>
<option value="vlinderhondje ">Vlinderhondje </option>
<option value="volpino italiano ">Volpino Italiano </option>
<option value="weimaraner ">Weimaraner </option>
<option value="welsh corgi cardigan ">Welsh Corgi Cardigan </option>
<option value="welsh corgi pembroke ">Welsh Corgi Pembroke </option>
<option value="welsh springer spaniel ">Welsh Springer Spaniel </option>
<option value="welsh terrier ">Welsh Terrier </option>
<option value="west highland white terrier ">West Highland White Terrier </option>
<option value="westfaalse dasbrak ">Westfaalse Dasbrak </option>
<option value="westsiberische laika ">Westsiberische Laika </option>
<option value="wetterhoun">Wetterhoun</option>
<option value="whippet">Whippet</option>
<option value="white swiss shepherd dog ">White Swiss Shepherd dog </option>
<option value="yorkshire terrier">Yorkshire Terrier</option>
<option value="yugoslavenski trobojni gonic ">Yugoslavenski Trobojni Gonic </option>
<option value="zuid-russische owcharka ">Zuid-Russische Owcharka </option>
<option value="zweedse elandhond ">Zweedse elandhond </option>
<option value="zweedse herderspits ">Zweedse Herderspits </option>
<option value="zweedse lappenhond ">Zweedse Lappenhond </option>
<option value="zwitserse niederlaufhund ">Zwitserse Niederlaufhund </option>
<option value="zwitzerse laufhund ">Zwitzerse Laufhund </option>
</select>
Varieteit-Kleur / Variety-Colour:
<input type="text" name="varieteit-kleur "size="25">
<br />
<input type="radio" name="geslacht " value="reu" /> Reu / Male
<br />
<input type="radio" name="geslacht " value="teef" /> Teef / Female
</p>
<p>
Naam van de hond / Name of the dog:
<input type="text" name="naamhond "size="30">
<br />
Titels van de hond / Titles of the dog:
<input type="text" name="titelshond "size="20">
<br />
Stamboomnummer / Pedigreenumber:
<input type="text" name="stamboomnummer "size="20">
<br />
Geboortedatum / Date of birth:
<input type="text" name="geboortedatum "size="20">
<br />
<br />
Klasse / Class:
<form action="">
<select name="klasse ">
<option value=""> </option>
<option value="1. Baby">1. Babyklas/Baby class (4-6 maanden/months) </option>
<option value="2. Puppy">2. Puppyklas/Puppy class (6-9 maanden/months) </option>
<option value="3. Jeugd">3. Jeugdklas/Junior class (9-18 maanden/months) </option>
<option value="4. Tussen">4. Tussenklas/Intermediate class (15-24 maanden/months) </option>
<option value="5. Open">5. Openklas/Open class (vanaf/as from 15 maanden/months) </option>
<option value="6. Gebruikshonden">6. Gebruikshondenklas/ Working class (vanaf/as from 15 maanden/months)* </option>
<option value="7. Kampioens">7. Kampioensklas/ Champion class (vanaf/as from 15 maanden/months)* </option>
<option value="8. Veteranen">8. Veteranenklas/Veteran class (vanaf/as from 8 jaar/years) </option>
</select><br />
<small>*Kopie gerechtigheidsverklaring / kampioenschap meesturen als bijlage. Indien niet bijgesloten wordt de hond in de open klas ingeschreven.<br />
*Copy of statement of the ruling organisation or copy championship must be included as attachment. If not enclosed the dog will be entered in open class.</small>
</p>
<p>
Fokker / Breeder:
<input type="text" name="fokker "size="20">
<br />
Vader / Sire:
<input type="text" name="vader "size="20">
<br />
Moeder / Dam:
<input type="text" name="moeder "size="20">
</p>
<p>
Eigenaar / Owner:
<input type="text" name="moeder "size="20">
<br />
Voorletters(s) / First name(s):
<input type="text" name="voorletters "size="8">
Achternaam / Familyname:
<input type="text" name="achternaam "size="20">
<br />
Adres / Address:
<input type="text" name="adres "size="30">
Nummer / Number:
<input type="text" name="nummer "size="5">
<br />
Postcode en woonplaats / Code and city:
<input type="text" name="pc woonplaats "size="30">
<br />
Land / Country:
<input type="text" name="land "size="30">
<br />
Telefoonnummer / Telephonenumber:
<input type="text" name="telefoonnummer "size="20">
<br />
Emailadres / Emailaddress:
<input type="text" name="email "size="20">
<br />
Mede-eigenaar / Co-owner:
<br />
Voorletters(s) / First name(s):
<input type="text" name="mede eigenaar voorletters "size="8">
Achternaam / Familyname:
<input type="text" name="mede eigenaar achternaam "size="20">
<br />
Naam rekeninghouder / Name accountholder:
<input type="text" name="rekeninghouder "size="20">
</p>
<p>
Is de staart van de hond legaal gecoupeerd? The dog’s tail is legally amputated?
<input type="radio" name="legaalgecoupeerd " value="ja" /> Ja / Yes
<input type="radio" name="legaalgecoupeerd " value="nee" /> Nee / No
<br />
Land van geboorte/country of origin:
<input type="text" name="geboorteland "size="20">
<br />
Is staart van de hond om medische redenen gecoupeerd? The dog’s tail is amputated for medical reasons? <small>(Indien ja, dierenartsverklaring meenemen / If yes please bring proof of the veterinairy)</small>
<input type="radio" name="medischgecoupeerd " value="ja" /> Ja / Yes
<input type="radio" name="medischgecoupeerd " value="nee" /> Nee / No
</p>
<br />
<fieldset>
<legend>
Eénmalige machtiging <small>(alleen voor Nederland)</small>
</legend>
Ondergetekende verleent hierbij éénmalige machtiging aan SOHZ om van hieronder genoemde rekening af te schrijven
<br />
inschrijfgeld IJSSELSHOW 2009 <small>(Machtiging kan binnen 30 dagen na dagtekening worden ingetrokken)</small>
<br />
Bedrag: €
<input type="text" name="machtigbedrag "size="10">
<br />
Bankrekeningnummer:
<input type="text" name="machtigingbank "size="10">
<br />
Girorekeningnummer:
<input type="text" name="machtiginggiro "size="10">
<br />
Naam en voorletters:
<input type="text" name="machtigingnaam "size="25">
<br />
Adres:
<input type="text" name="machtigingadres "size="30">
<br />
Postcode en woonplaats:
<input type="text" name="machtigingpcwoonplaats "size="25">
<br />
Naam rekeninghouder:
<input type="text" name="machtigingrekeninghouder "size="20">
</fieldset>
<br />
<fieldset>
<legend>
Extra's
</legend>
<p>
Koppelklas / Braceclass (per koppel / per brace):
<input type="text" name="koppelklas" "size="4" id="koppelklas" onkeyup="(isNaN(parseInt(this.value))) ? document.getElementById('extra_tickets_prijs').value = 'Vul een getal in' : document.getElementById('koppelklas_prijs').value = this.value * 10" />
x € 10,00 =
<input type="text" name="koppelklas_prijs" "size="4" id="koppelklas_prijs" value="0" disabled="disabled" />
</p>
<p>
Extra toegangskaartjes volwassenen / Extra tickets adults:
<input type="text" name="extra_kaartjes" "size="4" id="extra_kaartjes" onkeyup="(isNaN(parseInt(this.value))) ? document.getElementById('extra_kaartjes_prijs').value = 'Vul een getal in' : document.getElementById('extra_kaartjes_prijs').value = this.value * 8" />
x € 8,00 =
<input type="text" name="extra_kaartjes_prijs" "size="4" id="extra_kaartjes_prijs" value="0" disabled="disabled" />
</p>
<p>
Toegangskaartjes kinderen 4-11 en 65+ / Tickets childeren and elderly persons:
<input type="text" name="kinderkaartje" "size="4" id="kinderkaartje" onkeyup="(isNaN(parseInt(this.value))) ? document.getElementById('kinderkaartje_prijs').value = 'Vul een getal in' : document.getElementById('kinderkaartje_prijs').value = this.value * 5" />
x € 5,00 =
<input type="text" name="kinderkaartje_prijs" "size="4" id="kinderkaartje_prijs" value="0" disabled="disabled" />
</p>
<p>
Niet ingeschreven honden / Dogs not entered for judging <small>(max. 2 per exposant / exhibitor)</small>:
<input type="text" name="hondenkaartje" "size="4" id="hondenkaartje" onkeyup="(isNaN(parseInt(this.value))) ? document.getElementById('hondenkaartje_prijs').value = 'Vul een getal in' : document.getElementById('hondenkaartje_prijs').value = this.value * 5" />
x € 5,00 =
<input type="text" name="hondenkaartje_prijs" "size="4" id="hondenkaartje_prijs" value="0" disabled="disabled" />
</p>
<p>
P-kaart:
<input type="text" name="parkeerkaart" "size="4" id="parkeerkaart" onkeyup="(isNaN(parseInt(this.value))) ? document.getElementById('parkeerkaart_prijs').value = 'Vul een getal in' : document.getElementById('parkeerkaart_prijs').value = this.value * 5" />
x € 5,00 =
<input type="text" name="parkeerkaart_prijs" "size="4" id="parkeerkaart_prijs" value="0" disabled="disabled" />
</p>
</fieldset>
<br />
<fieldset>
Het tentoonstellingsreglement, het kynologische reglement van de Raad van Beheer en het tentoonstellingsreglement van de FCI zijn van toepassing. Door in te zenden verklaart
u bekend te zijn met deze regels en deze te accepteren. / The show regulations, the rules of the Dutch Kennelclub and the FCI show regulations are in force. By sending in
this form you state to know and accept those rules.
<br />
Actuele informatie / present information <a href="http://www.ijsselshow.nl">
www.ijsselshow.nl</a>
<br />
Inschrijving voor Pedidree Junior Handling tijdens de show /
Entry for Pedigree Junior Handling during the show
</fieldset>
<br />
<fieldset>
Binnen 14 dagen na inschrijving ontvangt u een bevestiging.
Neem contact met ons op indien u nog geen bevestiging ontvangen heeft.
<br />
You will receive a confirmation within 14 days.
Please, post us if you did not receive a confirmation.
<br /><br />
<input type="submit" value="Verzend inschrijving">
</fieldset>
</form>
</body>
</html>