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AKA Online Purebred Litter Registration Application

*The AKA Will E-mail the Completed Application to You to Print Out, and Give to Each Puppy Buyer.

Your Name(First and Last)
Your Address(City, State, Zip)
Your Phone Number(Include Area Code)
Your E-mail Address
Breed of Purebred Dog
Birthdate of Litter(Month, Day, Year)
Number of Males and Females in Litter(Ex. 4M, 3F)
Sire's Name and Registration Number(Ex. AKA 101352)
Dam's Name and Registration Number(Ex. AKC DL34256)
  

UPLOAD COPIES OF DOCUMENTATION ON THE SIRE AND DAM AND/OR PHOTOS OF THE DOG THAT YOU ARE REGISTERING HERE.

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All rights Reserved American Kennel Association, Inc.

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