"Litter Application" Independent Breeders Dog Registry P.O. Box 39 Albany, Ok 74721 (580) 847-9277 abby@ibdr.org Litter Registration Fee:  Send $1 per puppy to be registered. Send Cash, Check, Money Order...Please Print...Quick return on puppy papers! Breed___________________________________________________________________ Number of Males_____________________Number of Females_____________________ Date of Birth___________________________ Are these puppies purebred?    Yes    No Sire (Father)_____________________________IBDR#___________________________ Owner_______________________________Address____________________________ City________________________________State_________________Zip____________ Phone Number________________________EMail______________________________ Dam (Mother)____________________________IBDR#___________________________ Owner______________________________Address_____________________________ City_______________________________State_________________Zip_____________ Phone Number_______________________EMail_______________________________ Signatures: Sire Owner_____________________Dam Owner____________________ Send Puppy Papers To:                                                                                                        Name__________________________________________________________________ Address________________________________________________________________ City_______________________________State________________Zip______________ Phone Number_______________________EMail (Optional)______________________ Website  (Optional) ______________________________________________________

Hit print on your computer to print litter application! Dark background does not print!

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