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.

FEES

PLEASE NOTE YOU MUST FOLLOW THE INSTRUCTIONS BELOW:

1. CLICK YOUR DOGS REGISTRATION FEE
2. OPTIONAL SHIPPING SERVICES, IF YOU WISH *

USA Registration-DOG UNDER 1 YEAR OF AGE $30.00 + $5.00 Processing fee

USA Registration- DOG OVER 1 YEAR OF AGE $40.00 + $5.00 Processing fee

International Registration- DOG UNDER 1 YEAR OF AGE $35.00 + $5.00 Processing fee

International Registration- DOG OVER 1 YEAR OF AGE $45.00 + $5.00 Processing fee

ADDITIONAL OPTIONS (SHIPPING SERVICES):

2 Day FedEx SHIPPING - 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 $95.00 usd

Fedex Denmark, Sweden, Italy, Israel + 110.00 usd

Fedex Bulgaria, Czechia, Romania, Poland, Serbia Turkey + 95.00 usd

Fedex Australia + $135.00 usd

NOTE: SHIPPING SERVICES ARE APPLIED AFTER PROCESSING TIME -

IF FEDEX SERVICES ARE SELECTED, then your paperwork is processed within 1-10 business days and mailed via FEDEX.

PLEASE NOTE CURRENT PROCESSING TIME IS 4-6 WKS.

** Owner and Co-Owner Information**

**DOG INFORMATION**

**DOCUMENT UPLOAD AREA**

**FEES**

NOTE: SHIPPING SERVICES ARE APPLIED AFTER PROCESSING TIME - IF FEDEX SERVICES ARE SELECTED, then your paperwork is processed within 1-10 business days and mailed via FEDEX. PLEASE NOTE CURRENT PROCESSING TIME IS 4-6 WKS.

Owner and Co-Owner Information

DOG INFORMATION

DOCUMENT UPLOAD AREA

FEES

NOTE: SHIPPING SERVICES ARE APPLIED AFTER PROCESSING TIME -

IF FEDEX SERVICES ARE SELECTED, then your paperwork is processed within 1-10 business days and mailed via FEDEX.

PLEASE NOTE CURRENT PROCESSING TIME IS 4-6 WKS.