



| <-Puppy Number-If filling it in online this Number is needed. |
| <-PIN Number-If filling it in online this Number is needed. |
| Full Registration -> Number-If filling it in online this Number is needed. If you do not have full registration, skip this number. It will be darkened and this means that you have Limited Registration. |
| <-Payment Info. Be sure to fill in the amt and how you are paying. |
| Puppy's Name -> Be sure you fill in the pup's name. It is best to give him/her 2 names to avoid sharing with another dog and ending up with a roman numeral after the pup's name. |
| If filling it in online this Color Box |
| Sending it in the mail, this Color Box |
| Color Codes |

| Mailing Address-> |
| Sign Here-> |
| Breeder will fill in this info, will need to know this date! -> |
| Be sure all of this info-> is filled in and correct. Can also add a co-owner if you wish, just be sure to sign both signature lines. |
| Color Codes |
| If filling it in online this Colored Box |
| Sending it in the mail, this Colored Box |