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AKA Online Foundation Stock Registration Application

If Available Provide Copies of Any Information That You Have on the Sire and Dam.

Submit Pictures, Front, Right Side, Left Side, of the Dog You Are Registering As Foundation Stock.
 
The completed registration certificate will be mailed to you. 
Please allow 2-4 weeks.
 
*This Application Must Be Paid For With Paypal Before Application is Completed by the AKA.

Your Name(First and Last)
Your Address(City, State, Zip)
Your Phone Number(Include Area Code)
Your E-mail Address
Name of Dog
Microchip Number
Breed of Purebred Dog
Birthdate of Dog (Month/Day/Year)
Color of Dog (Ex. Black and Gold)
Date of Ownership(month/day/year)
Sex of Dog
Sire's Registration Number If Available(Ex. AKA 101352)
Dam's Registration Number If Available(Ex. AKC DL34256)
Name and E-mail Address of Person Who Can Certify That the Dog is Purebred
Name and E-mail Address of Person Who Can Certify That the Dog is Purebred
I certify that this dog is Purebred to the best of my knowledge
  

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

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