usbr usbr usbr usbr usbr usbr
USBR
USBR

Ownership of Dog

* First Name
M
* Last Name
* Street Address
* City
* State
* ZIP
* Phone Number
() -
Cell Phone
() -
* Email
* Owner Signature
 

Co-Owner Information

Co-Owner


* First Name
M
* Last Name
Street Address
City
State
ZIP
Phone Number
() -
Cell Phone
() -
Email
Co-owner able to sign litter(s) registration

Co-Owner Signature
 

Dog Information

Dog Name as shown on Pedigree
* Breed
* Gender

* DOB
/ /
* Color
Microchip#
DNA#

Registries the dogs is registered with (up to 3)

Registry 1

Registry
Number

Registry 2

Registry
Number

Registry 3

Registry
Number

Working titles or temperament titles?

Payment Information

Payment Type


Billing address is the
same as owner address?


Card Holder Name
Card Holder Email
Card Holder Billing Address
Card Holder City
Card Holder State
Card Holder Zip
Card Number
Card CVV
Card Exp Date
/
Cell Phone
() -
Signature
 

Fees

 $20.00 US REGULAR REG

 $25.00 INTERNATIONAL REG

 $15.00 RUSH FEE

 $10.00 PRIORITY MAILING

 $25.00 RUSH PRIORITY

 $40.00 OVERNIGHT FEE

Total Due
$

PLEASE SUBMIT BOTH SIDES OF YOUR PEDIGREE FORM
(file size limit 10Mb)


* FRONT OF PEDIGREE
* INSIDE OF PEDIGREE

Comment

Once you click SUBMIT your registration
will be submitted to the office

if you are not the sire owner, USBR will call sire owner to verify

Your credit card will be charged when we process your registration


 

Creampie