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.

We need the BACK copy of you application *

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

Fees:
For “2 day fed ex US ONLY” service, your paperwork is processed within 3-5 mailed via 2 day fed ex
For "Rush" service, your paperwork is processed within 3-5 business days once received in the office. This option is mailed back 1st class mail via the USPS. ***This DOES NOT expedite the mailing time***. IN-HOUSE RUSH service costs $15 additional per item.

Note field