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USBR
USBR

USBR Single Dog Registration Form

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
 

 REGISTRATION FEES AND MAILING FEES

Instructions: 1) Choose your registration fee, then 2) Choose your optional mailing fee

Registration Fees: (includes standard mailing only)

$30.00 US REGULAR REG (8 weeks processing from when payment was received)

$35.00 INTERNATIONAL REG (8 weeks processing from when payment was received, includes regular mailing)

Optional Mailing Fee (US ONLY) Choose only 1 option:

$10.00 PRIORITY (3 week processing, includes priority mailing)

$15.00 RUSH (processed in 7 business days, includes standard mailing)

$25.00 RUSH PRIORITY (processed in 7 business days, includes priority mailing)

$40.00 EXPRESS PROCESSING (processed in 7 business days, includes overnight mailing)

 

* 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