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Read all rules and answer all questions. Fill out completely and Type or Print Clearly. We cannot be responsible for the misspelling of words or names. |
| Breed: ______________________ | Date of Birth: ____/____/____ |
| Color: ______________________ | Sex : _____________ |
| ( ) Check here if dog is NOT to be used for breeding purposes. | Tattoo # (if any): _____________ |
| Dog's Name (please print clearly - 46 letters and spaces maximum) |
| Breeder: __________________________________________________ note: a photocopy of original registration papers must be enclosed with application if registered with another major registry. |
| Name of Sire: ______________________________________________ No: ______________________________________________________ |
| Name of Dam: _____________________________________________ No: ______________________________________________________ |
| If the sire and/or dam are WWKC registered, give their complete names and WWKC registration numbers. |
| Make
all checks or money orders payable to:
World
Wide Kennel Club, Ltd. |
This is to certify that this pedigree is correct to the best of my knowledge and belief: Owner's Name: ____________________ Street Address: ____________________ City: ____________ State: ___ Zip: _____ Phone Number: (___)________________ Signature: _________________________ |
