DESIGNER BREED REGISTRY®                                                                      Registered Kennel Name Application






Revised July, 2008
The Designer Breed Registry  offers breeders the Registered Kennel Name Program to protect the use of their kennel's
name in the naming of Designer Breed Registry  registered dogs. The use of a registered kennel name allows breeders to
name dogs oftheir breeding in an identifiable manner creating a prominent familial foundation in the breed.Registered Kennel
Names granted on or after July 1, 2008 are
breed specific. An applicant may request the namefor multiple breeds but must
meet the requirements, separately and distinctly,
in each breed. A non-refundable processing fee of $60.00 is required. Fee is
subject to change without notice.

PLEASE READ THE FOLLOWING REQUIREMENTS CAREFULLY. ALL REQUIREMENTS MUST BE METAT THE
TIME OF APPLICATION FOR THE GRANTING OF A REGISTERED KENNEL NAME.APPLICATION INFORMATION
WILL BE VERIFIED THROUGH REVIEW OF DESIGNER BREED REGISTRY RECORDS.
THE FOLLOWING REQUIREMENT MUST BE MET BY THE APPLICANT
A breeder, who has bred at least one Designer Breed Registry  registered litter.

THE FOLLOWING CONDITIONS GOVERN THE GRANTING OF A REGISTERED KENNEL NAME:
The Designer Breed Registry is not responsible for the use of this kennel name thru other registries and breeders whose dogs
are not registered through the Designer Breed Registry The name may be a unique word/s created by the applicant.The name
may contain a maximum of two words and a maximum of 15 total characters and spaces. Ineligible words would include, but
are not limited to, conflict either phonetically or in spelling with: the name of a breed, DBR  titles, names of cities, family names,
corporations or trade names, names of famousand universally recognized persons, living or dead, derogatory or discriminatory
words or words commonly used in the naming of dogs.
The granting of a Registered Kennel Name is at the sole discretion of the  Designer Breed Registry
The Designer Breed Registry reserves the right to reject an application.
Registered Kennel Name Application

I (We) are applying for the following Designer Breed Registry  Registered Kennel Name:
First Choice                                                                                        Second Choice
___________________________________________________   ________________________________________________
Kennel names are limited to two words and a total of 15 characters and spaces.Please contact the Designer Breed Registry
if your kennel name is longer.
I (We) are applying for this Registered Kennel Name/s for the following breed(s):__________________________,

___________________________, ___________________________, ____________________________
Requirements must be met in their entirety. $60.00 Processing Fee  $
20.00 for each additional breed over 4
Owner of registered kennel name                                             Co Owner of registered kennel name
__________________________________________________   __________________________________________________
Billing Address                                                                                  
City                                                 State/Country
________________________________________________________________________
Zip/Postal Code                          Daytime Phone                                            Email  
___________________     ___________________________     ___________________________________________________
I (We) hereby certify:That the information given on this form is true and accurate to the best of my (our) knowledge.
__________________________________________________     _________________________________________________
         Applicant's signature                                                              Co-Applicant's signature

Total processing fee must accompany application. Fee is non-refundable and subject to change without notice. Renewal fee is
$60.00 renewable for 5 year periods. $10.00 for each additional breed over 4
                                                                    Payment   
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Name on Credit Card_______________________________________
Account Number                                                                           Exp. Date                        cvs code
___________________________________________________ ______/ ____ / ______          ______________

Send completed application to:
Designer Breed Registry/ Registered Kennel Name
PO Box 238
Barryton, Michigan 49305
1-732-256-9415

To register your kennel name online please take the secured link below
                                                      

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