Application for Duplicate Registration Certificate or a ...

1 Application for Duplicate Registration Certificate or a Duplicate Application for Permanent RegistrationThis form must be completed and signed by the Registrant(s)/Sole Signatory on record at UKC . applications submitted by anyone other than the Registrant(s)/Sole Signatory on record will not be 1: Current Owner at UKC InformationSTEP 2: Dog Information (Required)STEP 3: Seller Information (Optional)Transfer Information (Optional - only required if changing ownership)Registrant/Sole Signatory s NameUKC Registration NumberSire s UKC Registration NumberSire s UKC Registration NameDam s UKC Registration NumberDam s UKC Registration NameUKC Registration NameWhat is the reason you are applying for this Duplicate ?SignatureDate of BirthSexColorBreedAddressas recorded by UKC. If address is different you must include an Official Change of Address Form.

2 The form can be downloaded at Address Postal CodeCountryFO18 ADM Updated 12-22 Print Name(s)Signature(s)Date of TransferAs the Sole Signatory, you relinquish your Registration rights to the individual(s) listed as new owners. Both sellers signatures are required if the dog is registered with an and partnership. This Certificate is issued with the right to be corrected or revoked by the United Kennel Club. We reserve the right to change any and all rules, fees, etc. without notice. Prices are as of printing of this form. Visit for current pricing. Completed applications become the sole property of UKC, and will not be returned. Incomplete applications may result in processing delays. This Application is being submitted for consideration and is not a guarantee of Registration with UKC. CityAddressPhoneNew Owner First Name (Sole Signatory)New Owner SignatureEmail AddressNew Owner Last Name (Sole Signatory)StateZipCountryDOG S NAME (OPTIONAL): A dog s name cannot be changed once it has registered offspring with UKC or attained a UKC title.

3 The Sole Signatory s Last Name will be added to names containing only one word. UKC reserves the right to deny any name, for any to three additional Successors may be listed on this dog s record. Visit for an additional form. SUBTOTAL: SUBTOTAL: Duplicate REGISTRATIONDUPLICATE & TRANSFER REGISTRATIONFee Application for Permanent Registration .. $15 STANDARD Registration PACKAGE Certificate of Ownership with Pedigree and Easy Entry card (3-Generation Pedigree) .. +$30 Upgrade Pedigree to 4-Generation (replaces 3-Generation Pedigree) .. +$4 Add Enhanced Metallic Details .. +$15 Fee for Dog Over 1 Year of +$25 Duplicate Transfer Fee (Only required if dog is changing ownership in addition to Registration selection.) .. $15 STANDARD Registration PACKAGE Certificate of Ownership with Pedigree and Easy Entry card (3-Generation Pedigree).

4 +$30 Upgrade Pedigree to 4-Generation (replaces 3-Generation Pedigree) .. +$4 Add Enhanced Metallic Details .. +$15 Fee for Dog Over 1 Year of +$25 PREMIUM EXPANSION OPTIONS3-Generation 11 x17 Display Pedigree .. +$ +$154-Generation 11 x17 Display Pedigree .. +$10 .. +$155-Generation 11 x17 Display Pedigree .. +$12 .. +$156-Generation 13 x32 Display Pedigree .. +$20 .. +$187-Generation 13 x32 Display Pedigree .. +$34 .. +$18 Additional Easy Entry Card .. +$10 PREMIUM EXPANSION OPTIONS3-Generation 11 x17 Display Pedigree .. +$ +$154-Generation 11 x17 Display Pedigree .. +$10 .. +$155-Generation 11 x17 Display Pedigree .. +$12 .. +$156-Generation 13 x32 Display Pedigree .. +$20 .. +$187-Generation 13 x32 Display Pedigree .. +$34 .. +$18 Additional Easy Entry Card.

5 +$10 PEDIGREE:PEDIGREE:ADD METALLIC UPGRADE:ADD METALLIC UPGRADE:SHIPPINGNext Day Air (Available for physical mailing addresses only.) (Saturday delivery not available.) .. +$60 Expedited Service (Returned within five business days, with tracking number.) (Available in the Continental US only.) .. +$40 Rush Service (Processed within five business days of receipt at UKC / Does not include time in transit) .. +$30 Tube Mailing of Pedigree (Paperwork will come rolled in a protective tube instead of folded with tracking included.) .. +$15 Standard First Class Mailing (Paperwork will come folded.) .. +$0 SUBTOTAL: TOTA L: Checks and money orders must be payable in US funds, have the UKC Registration Number listed on the memo line and made to the order of: United Kennel Club Attn: Registration 100 E.

6 Kilgore Rd., Kalamazoo, MI 49002-5584(269) 343-9020 allow 4 to 6 weeks for refunds will be issued due to an incomplete or illegible Application . CREDIT CARD INFORMATION (Major Credit Cards Accepted)SUBMISSION INSTRUCTIONSC ardholder s Name Billing Address Credit Card # Exp. Cardholder s Signature FO18 ADM Updated 12-22 This Certificate is issued with the right to be corrected or revoked by the United Kennel Club. We reserve the right to change any and all rules, fees, etc. without notice. Prices are as of printing of this form. Visit for current pricing. Completed applications become the sole property of UKC, and will not be returned. Incomplete applications may result in processing delays. This Application is being submitted for consideration and is not a guarantee of Registration with UKC.

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