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dna typing registration breeding certificate litter application

registration

Name of Dog:

Registration No.
Breed:

Date of Birth:
Eye Color (left): Eye Color (right):

Sex:
Tattoo and/or Brand:

Coat Color

 

Sire

 

{Sire_________________________________________________

{Reg. No._____________________________________________

{Dam________________________________________________

{Reg. No._____________________________________________

 

Reg. No.

 

Breed

 

Dam

 

{Sire_________________________________________________

{Reg. No._____________________________________________

{Dam________________________________________________

{Reg. No._____________________________________________

 

Reg. No.

 

Breed

Owner

Address

Phone

Please Enclose Processing Fee of $12.00 with returned Certificate.