EmailMe Form - Single Dog Registration

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

20TH ANNIVERSARY LIMITED EDITION PEDIGREES ARE NOW AVAILABLE FOR PURCHASE! VERY LIMITED QUANTITY SO ORDER TODAY TO SECURE YOUR EXCLUSIVE PEDIGREE !!!

Today's Date

MM / DD / YYYY

Owner and Co-Owner Information

Owners Full Name *

First Last

Owners Phone (include area code) *

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-Owner's name (If applicable)

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-Owner's Phone (include area code)

Co-Owner's Email

Co- Owner Signature

Clear

DOG INFORMATION

Dog Name as shown on pedigree (35 characters maximum) *

Dogs color *

Breed Applying for *

Gender *

Date of Birth *

Microchip# if applicable

Sire's name & number *

Dam's name & number *

NOTE SECTION:

DOCUMENT UPLOAD AREA

Please read carefully and upload the correct information.

Upload Front Page of YOUR DOG's Pedigree (not the parents)
OR the front & back side of the ABKC application for permanent registration *

Upload Complete Copy of the Pedigree (showing the lineage)
**If this is an OWNERSHIP TRANSFER, upload back page copy also *

Upload 2 CLEAR photos of the dog--
1 standing front view & 1 side view showing THE TAIL *

FEES

ORDER NOW!!! LIMITED EDITION
20TH ANNIVERSARY PEDIGREE!

YES ORDER MY 20th Anniversary Pedigree

Our 20th Anniversary pedigrees have arrived!
Very limited quantity - order yours today to secure this exclusive offer (Additional $5.00 fee)

PLEASE NOTE YOU MUST FOLLOW THE INSTRUCTIONS BELOW:

1. CLICK YOUR DOGS REGISTRATION FEE *

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

2. OPTIONAL SHIPPING SERVICES, IF YOU WISH-

FEDEX EXPRESS SHIPPING - US ONLY +$50.00 US ONLY

FedEx UK, Ireland, Canada, Mexico +80.00 usd

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

Fedex Philippines, Switzerland $95.00 usd

Fedex Italy, Sweden, Denmark, Israel, Saudi Arabia +$110.00 usd

Fedex South Africa, Bulgaria, Romania, Australia, Serbia, Turkey + $135.00 usd

Fedex Poland, Czechia, & New Zealand $150.00 usd

COMBINE SHIPMENT: RUSH FEE $25 APPLIED AUTOMATICALLY

If you have applications from multiple forms and you wish to combine into a single shipment, use this Combine Shipments option. (USPS FIRST CLASS MAIL & FEDEX Available )

YES APPLY COMBINE ORDER

Combine Shipments allows you to combine items from separate orders into a single shipment at the office's discretion. If one or more applications have processing errors, then items will be shipped separately. All Orders for Combined Shipment must be submitted on the same day and within the same hour of submission.
*If FEDEX services are selected only 1 FEDEX payment is required for shipment*
*5 ITEM MAX*

Shipping Services Disclosure
ABKC is not the direct shipper of FEDEX services. Therefore ABKC is not responsible for delays and/or lost packages once it leaves the ABKC Office. I understand that I must contact FEDEX directly in order to initiate a claim on packages. This disclosure includes inclimate weather, acts of nature, acts of God, but is not limited to other FEDEX disclosures found on their website directly. *

I agree

** Owner and Co-Owner Information**

**DOG INFORMATION**

**DOCUMENT UPLOAD AREA**

**FEES**

Owner and Co-Owner Information

DOG INFORMATION

DOCUMENT UPLOAD AREA

FEES