Registration Form

This Registration Certificate (BILL OF SALE) must be process promptly in order to make your purchase official. Mail this document, along with the indicated fees to :

AMERICAN NATIONAL DOG REGISTRY

1126 N Mountain Ave #1128

Ontario, CA 91762

877-416-2637

If this document is mailed within 90 days, pay the following fees. If mailed later, add.$ 2.00 Transfer of ownership only Transfer of ownership with four Generation Pedigree Transfer of ownership with six Generation Pedigree (small forms) Transfer of ownership with six Generation Pedigree (large format) Transfer of ownership with seven Generation Pedigree (large format) Four Generation Pedigree only Six Generation Pedigree (small format) Six Generation Pedigree only (large format 35” x 23”) Seven Generation Pedigrees only (large format 35” x 23) Duplicate Registration Certificate Tube Mailing Overseas Mailing

Please Print:

I have sold my interest in this dog to this new owner. Please transfer ownership to:

Name:

Address:

City:

State:

ZIP Code:

New Owner’s SIGNATURE: Printed name is unacceptable! MUST BE SIGNED and DATED!

Date:

Phone Number:

E-Signature:

Date:

Phone Number:

FIRST CHOICE: NEW REGISTERED NAME desired. If no name was given by breeder, this MUST be completed. For NAME CHANGE, breeder must sign above Limit 30 characters! Count must include all punctuation and spaces.

New owner may add CALL NAME HERE.

Chip ID or Tattoo #

The American National Dog Registry reserves the right to void these papers at any time in the event that fraudulent application is proven! Fraud is thus defined as forgery, false representation of lineage, or misrepresentation of purebred status.

THIS REGISTRATION CERTIFICATE SHOULD BE CONSIDERED VOID AND NON-BINDING IF ALTERED IN ANY WAY!

Date:

Past owners other than current seller? If so, name above

Need forms? Specify above.

The AMERICAN NATIONAL DOG REGISTRY is your WORLD-WIDE, full-service Registry. We pledge that we will provide unbiased, accurate, timely service without regard to nationality, bloodline or any other prejudicial factor! We truly appreciate your business, THANK YOU!