RoHM Kennel Application


Kennel Name:___________________________________________ Breed:___________________________


Owner's Name: ___________________________________________________________________________

Co-Owner's Name: ________________________________________________________________________

Street:
__________________________________________________________________________________


City: __________________________________ State: ______________ Postal Code:__________________


Country: _____________________________________


Phone: ________________________________________ Fax: _______________________________________


E-mail: _______________________________________ Web Site: ____________________________________


Signature: __________________________________________________________________________________


Listing Fee ($15 US) must accompany the application. Make checks payable to the RoHM Register and mail to:

RoHM Register
c/o 371 S. Yarnallton Pike
Lexington, KY 40510