 |
| Show/Conformation Title Application Designer Breed Registry |
| All dogs participating in the Champion Certification program must be registered with the DBR.If your dog is not registered with the DBR you may submit an individual application for registration with the required fee along with this application. All video tapes and applications become the property of the Designer Breed Registry LLC. Fees are not refundable. Certificate and ribbon will be issued within 3 weeks of submission. Please print clearly Breed:_______________________________________________Registration #_________________________ Name of Dog:___________________________________________________________male( ) female( ) Owners Name:____________________________________________________________________________ Address:__________________________________________________________________________________ City:________________________________________________State:___________________Zip:___________ One of our representatives will call you before we process your application Best time to call___________________ Phone #_____________________________________ Phone: (area code first)______________________________Phone:(area code first)______________________ Method Of Payment: ( ) Credit Card ( )Check Fee: $ 50.00 Name on credit card(please print):______________________________________________________________ Credit Card #___________________________________________________________Exp.Date_____/______ Cardholder authorizes this charge Card Holders Signature:___________________________________________________Date:____/_____/____ Please mail to: Designer Breed Registry 20785 30th Avenue Barryton, Michigan 49305 Printable Page or Copy and Paste |
 |
 |
|
|
 |
|