Single Registration
APBA FOUNDED 2006
Single Registration without pedigree $10.00
Single Registration with 4 gen. pedigree $15.00
Show & Pull I.D. Card $6.00
P.O. BOX 585
ICARD NC, 28666
For a show & pull Id card, please send photo of dog
828-632-1876 OR WWW.AMERICANPUREBREDALLIANCE.COM
*Research fee $15.00 + registration fee for unknown pedigree
*Please send a copy of at least one of ADBA, UKC, AKC, BFKC, or AADR
reg. certificate and a copy of the Pedigree. Photo is also required.
Please check box next to the services requested. All fees include a
color photo on certificates.
Owner Address
Phone # City State Zip Color Sex Born
Breeder Address
City State Zip Date Purchased
S
S
D
S
S
D
D
Sire
S
S
D
D
S
D
D
S
S
D
S
S
D
D
Dam
S
S
D
D
S
D
D
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (___________)
Desired Registered Name 30 Character Maxmium/
Also add call Name on the end please use ( ) to indicate call name
|
*PRINT & COMPLETE BOTH PAGES*