Litter Registration (Dam & Sire must be ICBR)

Litter Registration Form

Owner of Litter and Dam

First

Last

Co-Owner’s Name (If Applicable)

Co-Owner's Name (If Applicable)

First

Last

Phone

Address

City

State/Province

Zip/Postal

Country

Sire’s Name:

ICBR#

Sire Owner’s Name

Sire Owner's Name

First

Last

Sire Owner’s Email To Verify Litter (Litters will not be completed without verification)

Sire’s Breed

Other

Dam’s Name:

ICBR#

Dam’s Breed

Other

Phone

Breed of Litter

Other

Number of Females

Number of Males

Birthdate of Liter

Registration Fee (MUST select Registration fee first, then additional services)

$30 Litter Registration (USA)

$50 Litter Registration (International)

$20 Rush Processing (This puts your application in front of regular processing)

$20 Priority Shipping (USA)(JUST shipping 1-2 days via USPS)

$60 Overnight Shipping (USA)(JUST shipping. Overnight is not guaranteed with USPS)

$75 Priority Shipping (International)

For Office User Only

Total

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