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Breeders Name:______________________________________________________ Address:____________________________________________________________ City:____________________________________State/Country:________________Postal/Zip Code:______________ Phone:________________________________Alternate Phone:____________________________________ Breed:________________________________________________________Date Of Birth_______________________ Males_______________Females_______________ Price (optional)$_______________ Shipping available { }Yes { }No Registered With (Registry Name)_______________________________________________________________________ Website Address:_____________________________________________Email Address:_______________________________ **************************************************************************************** If you are announcing more than 1 litter please use a separate litter announcement for each litter and email to or send by mail to the address below. Advertise your litter on the DBR website this announcement is free when you register your litter with Designer Breed Registry. If you do not have a litter registered with the Designer Breed Registry simply fill out the above form and include your credit/debit card information,check or money order in the amount of $15.00. 1 Year $15.00 for each breed advertised includes unlimited amount of litters for each breed { }Visa { }Mastercard { }Discover { }Check { }Money Order Card Number |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| Exp.Date______/______/_________ Name as it appears on credit card_______________________________________________________ Individual signed below agrees that he is an authorized signer for this card Signature:___________________________________________Date_______/_______/_________ Designer Breed Registry 919 Lakewood Farmingdale Road Howell, New Jersey 07731 989-644-0301 9:00Am-5:00Pm Mon. thru Fri. Contact the Designer Breed Registry |
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| Designer Breed Registry Litter Advertisement |
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