EmailMe Form - Application for Permanent Puppy Registration

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

ABKC # *

Dogs color *

Microchip #/tattoo

Owners Name: *

First Last

Address *

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

Phone *

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

Email *

Co-Owner Name:

First Last

Co Owners address

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

Phone

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

Email

Dogs Full Name: (up to 35 characters) *

We need the FRONT copy of your application *

Please submit a clear, completed scan of the front of your puppy card.

Fees for:

2 day Fed Ex USA ONLY service; your paperwork is processed within 3-5 days mailed via 2 day fed ex.

Rush service; your paperwork is processed within 3-5 business days once received in the office.

*Rush Service DOES NOT expedite the mailing time*.

IN-HOUSE RUSH service costs $20.00 additional per item.

PLEASE NOTE CURRENT PROCESSING TIME IS 6-8 WKS WITHOUT RUSH SERVICE.

We need the BACK copy of you application *

Please submit a clear, completed scan of the back of your puppy card.

Note field