Litter Registration Application

Register now over the internet only $30.00

List your Litter on our web site only $25.00 additional

NEW PERSONALIZED PUPPY CARE FORMS WITH YOUR LITTER REGISTRATION only $1.00 per pup
CLICK HERE TO SEE IT This will open a new window so you can come back to this form

Puppy Registraion Papers mailed to you within 24 hours

Use your Mastercard, Visa, Discover or American Express Card

Please fill in the boxes below

if you are missing information leave it blank unless the field says required

If you are registering the sire (father) and/or dam (mother) at the same time as this litter enter PENDING in the sire & dam number fields

If you having a problem with this form or have questions E-mail Us or call live line support at 516 942-4395

IMPORTANT READ THE CLASSIFICATION & REGISTRATION INFORMATION PAGES BEFORE FILLING OUT THIS FORM

ARE THE PARENTS OF THIS LITTER REGISTERED? CHOOSE YES OR NOrequired

ARE THE PARENTS OF THIS LITTER BEING REGISTERED ON LINE AT THIS TIME? CHOOSE YES OR NOrequired

IF THE ANSWER TO BOTH QUESTIONS ABOVE WAS NO PLEASE (CLICK HERE) TO REGISTER PARENTS

If you have not registered the sire and/or dam please do so before filling out this form (CLICK HERE) then come back here and fill out this form

If you are registering the sire (father) and/or dam (mother) on the web at this time and this litter enter PENDING in the sire & dam number fields.

If they are already registered put their DRA numbers in the sire and dam # fields

YOUR EMAIL ADDRESS: required

Litter Owner: required

Breed: required

# of Males in this litter: required

# of Females in this litter: required

Date Of Birth: required Please use this format MM/DD/YYYY EXAMPLE (O1/01/2002)

Sire (father) Name: required

Sire Registration No. required

Dam: (mother): required

Dam Registration No. required

Sire (father) Information:

Owner of sire first name:

Owner of sire last name:

Owner of sire Address:

Owner of sire City :

Owner of sire State:

Owner of sire Zip:

Owner of sire Area Code:

Owner of sire Phone No

Dam (mother) Information:

Owner of dam First name: required

Owner of dam Last name: required

Owner of dam Address: required

Owner of dam City : required

Owner of dam State: required

Owner of dam Zip: required

Owner of dam Area Code: required

Owner of dam Phone No : required

For Security Purposes Re-Enter Your E-Mail: required

Payment Method Select required

Use This Format Include Spaces

example 1234 5678 9101

Credit Card# required

Exp Date required

Name On Card required

Registration Options Select required Canadain Orders $5.00 additional

Security Code required The security code helps protect you against fraud.Visa & MC last 3 digits on back of card. AmX 4 digits on front.

CHECK THIS BOX TO ORDER PERSONALIZED CARE FORMS

NEW PERSONALIZED PUPPY CARE FORMS WITH YOUR LITTER REGISTRATION
only $1.00 per pup

CLICK HERE TO SEE IT This will open a new window so you can come back to this form

If you have more litters to register submit this form and come back to this page and start again

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ARE THE PARENTS OF THIS LITTER REGISTERED? CHOOSE YES OR NOrequired ARE THE PARENTS OF THIS LITTER BEING REGISTERED ON LINE AT THIS TIME? CHOOSE YES OR NOrequired IF THE ANSWER TO BOTH QUESTIONS ABOVE WAS NO PLEASE (CLICK HERE) TO REGISTER PARENTS	If you have not registered the sire and/or dam please do so before filling out this form (CLICK HERE) then come back here and fill out this form If you are registering the sire (father) and/or dam (mother) on the web at this time and this litter enter PENDING in the sire & dam number fields. If they are already registered put their DRA numbers in the sire and dam # fields
YOUR EMAIL ADDRESS: required
Litter Owner: required
Breed: required
# of Males in this litter: required
# of Females in this litter: required
Date Of Birth: required Please use this format MM/DD/YYYY EXAMPLE (O1/01/2002)
Sire (father) Name: required
Sire Registration No. required
Dam: (mother): required
Dam Registration No. required
Sire (father) Information:
Owner of sire first name:
Owner of sire last name:
Owner of sire Address:
Owner of sire City :
Owner of sire State:
Owner of sire Zip:
Owner of sire Area Code:
Owner of sire Phone No

Owner of dam First name: required
Owner of dam Last name: required
Owner of dam Address: required
Owner of dam City : required
Owner of dam State: required
Owner of dam Zip: required
Owner of dam Area Code: required
Owner of dam Phone No : required
For Security Purposes Re-Enter Your E-Mail: required

Litter Registration Application

Register now over the internet only $30.00

CHECK THIS BOX TO ORDER PERSONALIZED CARE FORMS

NEW PERSONALIZED PUPPY CARE FORMS WITH YOUR LITTER REGISTRATION only $1.00 per pup

CLICK HERE TO SEE IT This will open a new window so you can come back to this form

NEW PERSONALIZED PUPPY CARE FORMS WITH YOUR LITTER REGISTRATION
only $1.00 per pup