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| Dogs Registered Name: _______________________________________ |
| WWKC Reg. NO.: ____________________________________________ |
| Type of Registration: ( ) Full ( ) Limited Not for Breeding |
| Registration Number: __________________________________________ |
SELLER/REGISTERED OWNER(S) Name(s): Print _____________________________________________ Address: ________________________________ Phone:___________ City: _________________________ State: ____ Zip: ______________ Seller's Signature: __________________________________________ |
BUYER(S): Name(s): Print _____________________________________________ Address: ________________________________ Phone:___________ City: _________________________ State: ____ Zip: ______________ Buyer's Signature: __________________________________________ |
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For
Office Use Only
Date Received: ____________ Fee Received: $_____________ Recorder: _____________ |
| For all other information pertaining to WWKC Corporate By-laws, Code of Ethics, or an Application for Registration, please contact us at the above address. |