DESIGNER BREED REGISTRY
"providing the dog world with dog information and dog news"

                     Online Litter Registration
Mailing Address:
Name of Owner:
City:
Stare/ Country:
Zip/Postal Code:
Phone:
Email
Breed of Puppies:      
Date of Birth:     
Number of Males:     
Number of Females:     
Sire's Name:     
Dam's Name:     
Breed of Sire:  
Breed of Dam:  
Number of Sire:     
Number of Dam:     
Promotional Code if Applicable:
Name on Credit/Debit Card:     
 Card Number:     
Exp.Date:     
 *cvs code
* The cvs code is the 3
digit code located on
the back of the card
Amex card it is the 4
digit code located on
the front of the card   
Billing address of card if different than mailing address above if same as mailing address enter an "x "in each
City:
Billing Address:    
State/Country:    
Zip/Postal Code:  
Paypal Customers please email:
registrations@designerbreedregistry.com
or call 732-256-9415 to request an invoice
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Pre-printed Puppy Applications
If you have had a recent litter of puppies, you can use the form below to order pre-printed registration applications for your puppies. The following criteria must be met in order for
you to be eligible to use this online order form: •You must be the owner of the litter.
* If you Do not have the sire and dam registered with the Designer Breed Registry please fill in the number of the sire and dam with 0000, The Designer Breed
Registry will issue the sire and dam a registration number, please call 1-732-256-9415 or email registrations@designerbreedregistry.com  To register via US mail please take the
link above.Litter Registration Fee: $25.00   All fields must be filled out or your application cannot be processed