Standard Registration Form For those wanting to Dual Register with ICBR and have Official Pedigree Paperwork on their dog from a different registry. Payment accepted via PayPal at checkout. You can click “Pay with Debit or Credit Card”. If payment does not complete, please call or text the office at 864-800-9995 for payment. Sole Signatory/Registrants Name * Sole Signatory/Registrants Name First First Last Last Phone * Co-Owner’s Name (If Applicable) Co-Owner's Name (If Applicable) First First Last Last Email * Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Dog’s Name * Breed * American Bully (Std, Pocket, Extreme & Classic)XL BullyExotic BullyBrahma BullsStandard French BulldogFluffy French BulldogOlde English BulldoggeBoston TerrierDogo ArgentinoStaffordshire Bull Terrier (Staffybull)American Staffordshire TerrierGerman ShepherdStandard PoodleToy PoodlePekingesePomeranianPugChihuahua (Short and long coat)American BulldogAPBTChinese ChongQingCane CorsoPerro De Presa CanarioSouth African BoerboelBandogBull MastiffStandard Bull TerrierMini Bull TerrierHybridsLabradoodles / Golden DoodlesAustralian Shepherd (including miniature)OtherExotic French Bulldog Other * Gender * Male Female Birthdate * Color and Specific Markings * Registration Type * UKCAKCABKCABRBRCICBRUSBROther If Type is Other, pleas specify Sire’s Name: * Dam’s Name: * Copy of Pedigree (Upload Inside) We do not accept pedex, bullypedia etc Must be official pedigree * Drop a file here or click to upload Choose File Maximum upload size: 516MB Registration Fee (MUST select Standard registration fee first, then additional services) * $25 Std Reg(3 Ped Gen – USA) $45 International Reg(3 Ped Gen) $20 Rush Processing(This puts your application ahead of others with regular processing) $20 Priority Shipping (USA)(JUST shipping, 1-2 days via USPS) Tracking included via email $60 Overnight Shipping (USA)(JUST shipping, overnight is not guaranteed with USPS) Tracking included via email $75 Priority Shipping (International) For Office Use Only Total Total Check Out Start Over If you are human, leave this field blank.