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Litter Registration

Tick box if you have a paid Registered Affix Pedigree kennel Name
Owner *
Address *
Contact no
-


Breed *
Breeder *
Sire: Pedigree Name *
Sire: Registration Number *
Attach Sire File/Photo of Certificate
Dame: Pedigree Name *
Dame: Pedigree Number *
Attach Dame File/Photo of Certificate
Date Of Birth (puppies) *


If Sire/Dame certificate is not from a legitimate Dog Registry or is being registered without pedigree history the pedigree section will be left blank.


Puppy Details


Pedigree Name (1)
Sex
Colour (1)

Pedigree Name (2)
Sex (2)
Colour (2)

Pedigree Name (3)
Sex (3)
Colour (3)

Pedigree Name (4)
Sex (4)
Colour (4)

Pedigree Name (5)
Sex (5)
Colour (5)

Pedigree Name (6)
Sex (6)
Colour (6)

Pedigree Name (7)
Sex (7)
Colour (7)

Pedigree Name (8)
Sex (8)
Colour (8)

Pedigree Name (9)
Sex (9)
Colour (9)

Pedigree Name(10)
Sex (10)
Colour(10)

Pedigree Name(11)
Sex (11)
Colour(11)

Pedigree Name(12)
Sex (12)
Colour(12)

Pedigree Name(13)
Sex (13)
Colour(13)

Pedigree Name(14)
Sex (14)
Colour(14)



Please mention any pups being held back in the note section below.


Notes:



Pay now with PayPal
Or
By bank transfer

Bank Transfer amounts and options are the same prices as the Paypal options below.

Payments can be made by bank transfer to,

Wayne Robinson
Santander
Account: 72502180
Sort: 09 01 28

Registration will not be processed until funds have cleared.

Or by paypal by selecting the check boxes below.


Payment Options: *
Paypal Payment
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