Transcription of Foreign Dog Registration Application
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Foreign Dog Registration Application
2021 The American Kennel ClubADIMPT (08/21) EditPage 1 of 4 Date of Birth:__Month YearDayDog s Foreign Registration NumberDog s NameSex:Male FemaleDog s RegistryDog s Country of BirthDog s ColorDog s MarkingsDog s BreedDog Information: MicrochipTattooDNA Certificate NumberPositive Identification (One Required)Sire s Registration NumberSire s RegistrySire s NameSire Information: Dam Information: To Be Completed by the Importer of the DogDam s NameDam s Registration NumberDam s RegistryDam Information: Breeder s First NameBreeder s Last NameStreet AddressCity Email AddressCell Number (do not include dashes, periods, or spaces)CountryForeign Postal CodeBreeder Information Use this Application to register a dog born in a Foreign country.
specified on page 3 of this form. _ Account Number (do not include dashes) Expiration Date. Printed Name of Cardholder Charge my: VISA AMEX. Processing Fee $ 5 0. Payment and Submittal Information See page 3 of this form for complete details. MasterCard Discover. Check or money order made payable to: The American Kennel Club. * See Additional ...
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