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CHOOSE USERNAME AND PASSWORD

Username
Password
Retype Password

CONTACT INFORMATION

First Name
Last Name
Street address
Suite Apt.
City
State.
Zip
Country
Primary Phone
Mobile Phone
Work Phone
Email
Confirm Email

BREEDING

Kennel Name
URL

Breeding Practices

  1. How long have you been breeding?
  2. Why do you breed? Tell us about yourself.
  3. Do you microchip your puppies? If available upon request, what is the additional cost?
  4. If you could tell a potential customer one thing about you and your puppies, what would it be?
First Breed
Second Breed
Third Breed
Fourth Breed
Fifth Breed
Sixth Breed
Spay/Neuter Contract?

Yes
No

Active USDA Dog Breeder?

Yes
No

Do you have a State Dog Breeders License?

Yes
No

Vet's name
Vet's phone #

PAYMENT AND TERMS

How you found us*
How would you like to be paid?
Registration Code
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