Application For Permanent Registration

Application For Permanent Registration

For a limited time in 2016 the RKC is allowing FREE permanent registration for dogs who plan to attend an upcoming event. To qualify for FREE permanent registration you must pre-register for the event AND bring a copy of your current registration papers to the event and sign your application. *Please insure you bring a READABLE COPY of the FRONT and INSIDE pages of your pedigree.* If you have multiple dogs you need to apply for, you will need to fill out and submit an application for EACH dog. After completing and “submitting” each form, the page will re-load and you will notice”Your form was successfully submitted” message just above your form assuring its submission. Repeat the process to add any remaining dogs, then proceed to the Event Pre-registration section to complete your transaction.

*This form is NOT for use for 2015 RKC NATIONALS Oct 3, 2015.

Event Name:

Event Date:

day

month

year

Owners Name:*

Title

First

Last

Middle

Address:*

Street AddressCityState / Province / RegionPostal / Zip CodeCountry

Phone:*

Area Code

Phone Number

Alt Phone:*

Area Code

Phone Number

Co-Owners Name:

Title

First

Last

Middle

Co-Owners Address:

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Co-owners E-mail:

If this dog is to be registered in co-ownership, are both owners' signatures required if this dog is sold or when registering a litter produced by this dog.

Yes

Dog's Name*

Breed:*

Sex:*

Male

Female

Color:*

Date Of Birth:*

day

month

year

Registration #:

I Understand that this is an Application for Permanent Registration and I Understand to qualify for FREE registration, I must have competed or will competing in an upcoming event that is offering FREE registration. Please bring or mail in a COPY of the FRONT and INSIDE pages of your pedigree.

I agree to the terms*

Yes

Microchip:

Tattoo

DNA

Notes or Comments:

Event Pre-registration

Day of show entry is $25 per dog. Save time and money and preregister your dog(s) now. Select “add to cart” under the number of dogs you are pre-registering. This selection will be added to your shopping cart, you will have the option to review your selection(s) before your final purchase. Below the price catalog you will find our on-line pre-registration form. You will need to fill out and submit for EACH dog you have paid for. After completing and “submitting” each form, the page will re-load and you will notice “Your form was successfully submitted” message just above your form assuring its submission. Repeat the process to add any remaining dogs. Once you have completed your pre-registration this completes your transaction, proceed to check out at the bottom of this page.

1 Dog= $20.00 [wp_cart_button name=”Pre-Registration 1dog” price=”20.00″]

2 Dogs= $40.00 [wp_cart_button name=”Pre-Registration 2dogs” price=”40.00″]

3 Dogs= $50.00 [wp_cart_button name=”Pre-Registration 3dogs” price=”50.00″]

4 Dogs= $75.00 [wp_cart_button name=”Pre-Registration 4dogs” price=”75.00″]

5 Dogs = $100.00 [wp_cart_button name=”Pre-Registration 5dogs” price=”100.00″]

*This form is NOT for use for 2015 RKC NATIONALS Oct 3, 2015.

Application For Permanent Registration

Event Pre-registration

*This form is NOT for use for 2015 RKC NATIONALS Oct 3, 2015.

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