Dog's Registered Name & Reg. No: ________________________________________________________________

Dog's Registered Name & Reg. No: ________________________________________________________________

Dog's Registered Name & Reg. No: ________________________________________________________________

Dog's Registered Name & Reg. No: ________________________________________________________________

Dog's Registered Name & Reg. No: ________________________________________________________________

Dog's Registered Name & Reg. No: ________________________________________________________________

Dog's Registered Name & Reg. No: ________________________________________________________________

Dog's Registered Name & Reg. No: ________________________________________________________________

Dog's Registered Name & Reg. No: ________________________________________________________________

Dog's Registered Name & Reg. No: ________________________________________________________________

Mail to:

Name:___________________________________________________

Street: __________________________________________________

________________________________________________________

City: ____________________________________________________

State: ____________________    Postal Code: _________________

Country: _________________________________________________

Signature: ___________________________________________________________________


Allow 4-6 weeks for completion of the paper work.

Fee:
Members:
$10 for first three pedigrees and $5 for each additional pedigree

Non Members:
$25 for first three pedigrees and $10 for each additional pedigree