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Individual Dog Registry Application IBDR P.O. Box 39 Albany, Ok 74721 (580) 847-9277 abby@ibdr.org Registration Fee: $ 10 per dog Cash, Check, Money Order Please Print Clearly, Quick Return Name of Dog:________________________________________________________________________ Breed:_____________________________________________________________________________ Birthdate:_____________________________________Sex:__________________________________ Color:______________________________________________________________________________ Markings or Indentification Numbers You Would Like On Your Papers:___________________________ __________________________________________________________________________________ Sire: (Father)___________________________________________________(If unknown, put unknown) Sire Registered? Give IBDR# (If Registered)________________________________________________ Dam: (Mother)__________________________________________________(If unknown, put unknown) Dam Registered? Give IBDR# (If Registered)________________________________________________ Send Papers To: First____________________________Middle_____________________Last_____________________ Address____________________________________________________________________________ City__________________________________State_______________________Zip________________ Telephone #______________________________EMail_______________________________________ Signature___________________________________________________________________________ Your Comments/ Your Website, Etc.______________________________________________________ __________________________________________________________________________________ Please put a check mark next to the items you would like: IBDR Breeders Certificate__________ 50 Free IBDR Business Cards With Your Name and Phone Number___________ Puppies For Sale Brochures__________ Tips On Breeding__________ |
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| Just hit print on your computer to application! Dark background does not print! |
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