| Obedience Title Application |
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| All dogs participating in the program for an Obedience Title must be registered with the 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 and applications become the property of the Designer Breed Registry LLC. Breed:_________________________________________________Registration#______________________ Name of Dog:__________________________________________________( )male ( ) female Owners Name:________________________________________________________________ Address:_____________________________________________________________________ City:_______________________________________State:______________Zip:____________ Phone:(area code first)____________________Phone: (area code first)___________________ Method of Payment:( )Visa ( )Master Card ( )Check ( )MO Total Fee$ 50.00 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:989-382-7004 20797 30th Avenue Barryton, Michigan 49305 |
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