Obedience Title Application
All dogs participating in the program for an Obedience Title must be registered with the American Dog Federation.If your dog is not
registered with the American Dog Federation you can submit an application for individual registration with the required fee along with this
application. All video's and applications become the property of the American Dog Federation.
Breed:_________________________________________________Registration#______________________
Name of Dog:__________________________________________________( )male ( ) female
Owners Name:________________________________________________________________
Address:_____________________________________________________________________
City:_______________________________________State:______________Zip:____________
Phone:(area code first)____________________Phone: (area code first)___________________
Please check the following ( )Conformation ( )Obedience ( ) Tracking ( )Other____________________
Fee per test/video $50.00
members of the American Dog Federation please deduct $10.00 per test/video
If you are a member of the American Dog Federation please enter your membership ID here________________________
Method of Payment:( )Visa ( )Master Card ( )Discover ( )Check ( )Money Order
Name on credit card(please print)_________________________________________________
Credit Card Number__________________________________________Exp.Date_____/_____
Cardholder authorizes this charge
Signature of card holder__________________________________________Date____/____/_______
Mail Payment and Video to: American Dog Federation
Phone: 989-644-0410 138 Lanes Mill Road
Howell, New Jersey 07731
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