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USBR
USBR

Litter Information

* Breed
* Number of puppets
Male:
Female:
Total:
* Date of Breeding
/ /
* Litter Born
/ /

Sire Information

Name
USBR #
Owner Name
Owner Phone
() -
Owner Signature
 
Co-Owner Name
Co-Owner Phone
() -
Co-Owner Signature
 

Dam Information

Name
USBR #
* Owner Name
* Owner email
Owner Signature
 
Co-Owner Name
Co-Owner Phone
() -
Co-Owner Signature
 

Payment Information

* Payment Type


Billing address is the
same as dam 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, and 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.

A $10 charge will be added to the total for litters over 1 year old.