Request for a Duplicate Dog Registration Application
ADD201 (5/15) 2015 The American Kennel ClubLitter date of birth:__Month YearDayDam s AKC Registration NumberDam s AKC Registered NameSire s AKC Registration NumberSire s AKC Registered NameIf the AKC litter number is unavailable, please provide the following information:Requirements, Instructions, and General Information See the bottom of this form for submittal informationSend the completed Application to the address specified on the bottom of this Name of CardholderAccount Number (do not include dashes) VISAAMEXCharge my: _Processing Fee$51Expiration DateFeesMasterCardDiscoverRequirementsTh is Request must be completed and signed by the owner of the litter as shown on AKC records. To Request a Duplicate litter kit, please use the Request for a Duplicate Litter Kit InformationSend this form and all appropriate fees to: The American Kennel Club8051 Arco Corporate Drive, Suite 100Raleigh, NC 27617-3390Signatures of persons other than the owners will be accepted only if a properly completed authorization form has been filed with the AKC.
CA2AA AmericAn Kennel club Request for a Duplicate Dog Registration Application Information that you provide on this side of the form, in any format, will not be processed. Please refer to the Requirements, Instructions, and General Information section
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