EmailMe Form - Single Dog Registration -

American Bully Kennel Club
PO Box 2677, Spotsylvania, VA 22553

Today's Date

MM / DD / YYYY

Owner and Co-Owner Information

Owners Full Name *

First Last

Owners Phone *

### - ### - ####

Owners Email *

Has your address Changed?

YES

NO

Owners Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Owner Signature *

Clear

Co-Owners name

First Last

If there is a co-owner, you must have a signature from them below or your paperwork will be returned to you and processing will be delayed.

Co-Owner Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Co-Owners Phone

### - ### - ####

Co- Owner Signature

Clear

DOG INFORMATION

Dog Name as shown on pedigree *

Dogs color *

Breed Applying for *

Gender *

Date of Birth *

Microchip# if applicable

Sire's name & number *

Dam's name & number *

DOCUMENT UPLOAD AREA

Please read carefully and upload the correct information.

ALL UPLOADS MUST BE CLEAR AND READABLE.

DO NOT SUBMIT IF YOU DO NOT HAVE ALL DOCUMENTS!

*** INCOMPLETE FORMS AND/OR PAPERWORK WILL BE RETURNED AND PROCESSING WILL BE DELAYED

YOU WILL ALSO BE CHARGED A $5.00 FEE FOR RESUBMISSION.

Upload FRONT Page of Pedigree *

You must submit all pages of documents. If there is any missing, the paperwork will be delayed and returned to you.

Upload FULL INSIDE Pages of Pedigree
**If ownership transfer, add Back copy *

You must submit all pages of documents. If there is any missing, the paperwork will be delayed and returned to you.

UPLOAD CLEAR PHOTOS OF DOG

Upload 2 Photos of the DOG (Front, Side) *

You must submit all pages of documents. If there is any missing, the paperwork will be delayed and returned to you.

ABKC AFFIDAVIT FORM

If the ABKC Affidavit form was required for this submission please upload the form here and pay the $25.00 additonal fee below

FEES

2 day Fed Ex USA ONLY service

Your paperwork is processed within 1-10 business days and then mailed via 2 day fed ex.

US only fed ex can take longer abroad

PLEASE NOTE CURRENT PROCESSING TIME IS 10-12 WKS. *

US Registration Form $30.00 + $5.00 Processing fee

International Registration (Outside US) $35.00 + $5.00 Processing fee

2 Day FedEx - US ONLY +$50.00 US ONLY

FedEx UK, Ireland, Canada +80.00 usd

Fedex Germany, Belgium, France, Spain, Netherlands, Portugal +80.00 usd

Fedex Philippines, Denmark, Sweden, Italy, Israel + 80.00 usd

Fedex Bulgaria, Czechia, Romania, Poland, Serbia Turkey + 100.00 usd

Fedex Australia + $135.00

** Owner and Co-Owner Information**

**DOG INFORMATION**

**DOCUMENT UPLOAD AREA**

**FEES**

Owner and Co-Owner Information

DOG INFORMATION

DOCUMENT UPLOAD AREA

FEES