Transcription of Request for a Duplicate Dog Registration Application
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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) VISAAMEXC harge my: _Processing Fee$51 Expiration DateFeesMasterCardDiscoverRequirementsTh is Request must be completed and signed by the owner of the litter as shown on AKC records.
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 on page 1 of the form for guidance if you need to provide additional information.
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