Registrant Information
Owners Name:_________________________________________Co Owner:______________________________________
Address:_________________________________________________________________City:________________________
Country/State:_________________________________Postal/Zip Code:_________________Phone:____________________
Signature Of Owner:___________________________________Co Owner:___________________________________
Payment Method
(1) $20.00 Single Dog Option(2) 3-5 dogs $12.00/dog Option(3) over 5 dogs $10.00/dog
If you have over 5 dogs to register please contact the ADF for any promotions that ma be available.
( )Visa ( ) Master Card ( ) Discover ( )Money Order ( ) Check Total$________________
Print name as it appears on credit card_____________________________________________________________________
Credit Card #_________________________________________________Expiration Date:________/_________/_________
By Signing Below the credit card holder authorizes the above charges to be charged to the credit card account number above
Signature:___________________________________________________________Date:__________________
This is a Printable Page
Please send payment with the completed application to:
American Dog Federation
138 Lanes Mill Road
Howell, New Jersey 07731
Owners Name:_________________________________________Co Owner:______________________________________
Address:_________________________________________________________________City:________________________
Country/State:_________________________________Postal/Zip Code:_________________Phone:____________________
Signature Of Owner:___________________________________Co Owner:___________________________________
Payment Method
(1) $20.00 Single Dog Option(2) 3-5 dogs $12.00/dog Option(3) over 5 dogs $10.00/dog
If you have over 5 dogs to register please contact the ADF for any promotions that ma be available.
( )Visa ( ) Master Card ( ) Discover ( )Money Order ( ) Check Total$________________
Print name as it appears on credit card_____________________________________________________________________
Credit Card #_________________________________________________Expiration Date:________/_________/_________
By Signing Below the credit card holder authorizes the above charges to be charged to the credit card account number above
Signature:___________________________________________________________Date:__________________
This is a Printable Page
Please send payment with the completed application to:
American Dog Federation
138 Lanes Mill Road
Howell, New Jersey 07731
American Dog Federation
Registration Application
Registration Application