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
Last
Co-Owner’s Name (If Applicable)
Co-Owner's Name (If Applicable)
First
Last
Address
Address
City
State/Province
Zip/Postal
Country
Gender
Maximum upload size: 516MB
Registration Fee (MUST select Standard registration fee first, then additional services)
Total

Total

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