Breeder Acknowledgement (Read and sign.)
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To the best of my/our knowledge all of the information listed on this
application is true and correct. I/We agree that the Registry has
the privilege to correct, refuse and/or revoke registration for cause
under it's rules and regulations. I/We agree that if a listing is in
error there is a fee for certificate correction. I/We hereby make
application for registration of this litter herein referred to.
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Signature of
Breeder/s
Date
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Full Registered Name of Dam
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Date Whelped
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Number of Puppies
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Number of Females
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Number of Males
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Names maximum of 30 spaces
including kennel prefix. Sex - M or F Color Choices
- Black/tan, Red/tan, Blue/tan, Fawn/tan or Black, Red, Blue, Fawn or
Cream. Note white markings, if any. Note tattoo
if any and location. List owner name and address as it should
appear on certificate. Check if certificate is mailed directly
to buyer.
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1. Dog Name
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List Owner Name &
Address
Mail to Buyer r
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Sex
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Color
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Markings / Tattoo
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2. Dog Name
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List Owner Name &
Address
Mail to Buyer r
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Sex
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Color
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Markings / Tattoo
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3. Dog Name
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List Owner Name &
Address
Mail to Buyer r
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Sex
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Color
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Markings / Tattoo
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4. Dog Name
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List Owner Name &
Address
Mail to Buyer r
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Sex
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Color
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Markings / Tattoo
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5. Dog Name
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List Owner Name &
Address
Mail to Buyer r
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Sex
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Color
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Markings / Tattoo
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6. Dog Name
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List Owner Name &
Address
Mail to Buyer r
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Sex
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Color
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Markings / Tattoo
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7. Dog Name
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List Owner Name &
Address
Mail to Buyer r
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Sex
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Color
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Markings / Tattoo
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8. Dog Name
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List Owner Name &
Address
Mail to Buyer r
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Sex
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Color
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Markings / Tattoo
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9. Dog Name
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List Owner Name &
Address
Mail to Buyer r
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Sex
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Color
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Markings / Tattoo
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10. Dog Name
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List Owner Name &
Address
Mail to Buyer r
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Sex
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Color
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Markings / Tattoo
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Form
posted August 7, 2000
Copyright
2000, 2001 NAAKR, Inc. All rights reserved on content and graphics. |