Home
Obedience Title Application
|
All dogs participating in the program for an Obedience Title must be registered with the Designer Breed Registry/DBR.If
your dog is not registered with the DBR you can submit an application for individual registration with the required fee
along with this application. All video's of dogs and applications become the property of the Designer Breed Registry.
Obedience Title testing for this application____________________________________________________
Breed:___________________________________________DBR Registration#______________________
Name of Dog:__________________________________________________ ( )male ( ) female
Owners Name:________________________________________________________________
Address:_____________________________________________________________________
City:_______________________________________State/Country:__________________Zip:____________
Phone:(area code first)_______________________Phone: (area code first)______________________
Method of Payment:( )Visa ( )Master Card ( ) Discover ( )Check ( )MO Total Fee $25.00
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: Designer Breed Registry
Phone:1-732-256-9415 PO BOX 474
Farmingdale, New Jersey 07727