Mailing Address:

State/Country:

Email:


Breed:

Sex:


Color:


Dam's Name:


Registration Number:

Breeder if Known


Owners Name:

City:


Zip/Postal Code


Phone:


Dogs Name:


Date of Birth:


Sire's Name:

Registration Number:
Billing Address:
Name on 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   
DESIGNER BREED REGISTRY


                 Register Your Dog Online
Thank you for choosing Designer Breed Registry, please read the following before completing your online registration.

1. If you recently purchased a puppy and you have a valid Designer Breed Registry preprinted application from the breeder/seller, then
you are only a few clicks away from registering your dog and enjoying the benefits of registering your dog with the DBR..
Please use the form below to get started registering your dog. Enter the  information that can be found on your preprinted application.

2. If you are registering a designer dog or puppy who has not been previously registered with the Designer Breed Registry and you do
not have all of the information, please write unknown  

3. ALL FIELDS MUST be filled out to process your application, if you are not certain or do not know the information the field
requested please enter a 0 in that field. All CREDIT CARD information requested MUST be entered in the field

4.Registration Fee for each dog is $20.00

If you have any questions please email or call the registry  registrations@designerbreedregistry.com
732-256-9415
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