EmailMe Form - Litter Registration Form

**DO NOT SUBMIT UNLESS YOU HAVE ALL SIGNATURES ON UPLOADED FORM**
If for any reason a refund needs to be issued there is a 5.00 service fee.

**MAKE SURE SIRE AND DAM ARE REGISTERED. THIS WILL DELAY THE REGISTRATION IF NOT.

** IF THE SUBMISSION IS INCOPMPLETE YOU WILL RECEIVE A LETTER BACK AND WILL NEED TO PAY A 5.00 RE SUBMISSION FEE. **

American Bully Kennel Club
PO Box 2677
Spotsylvania, VA 22553

Date Time

MM / DD / YYYY

Dam Owner/Co Owner Information

Dam Owners Full Name *

First Last

Dam Owner Phone *

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

Dam Owners Email *

Dam Co Owner Full Name

First Last

Dam Co Owners Email

Has your address changed? *

Yes

No

Address: *

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

Dam Owner Signature *

Clear

Dam Co Owners Signature

Clear

This must be signed if there is a co-owner or paperwork will be returned to you and processing will be delayed.

Litter Information

DAMS ABKC#

Dam(Female) Information:
Name *

Breed *

Litter Date of Breeding: *

MM / DD / YYYY

Litter Date of Birth: *

MM / DD / YYYY

Number to be Registered:
MALES *

Number to be Registered:
FEMALES *

Total Puppies: *

Sire ABKC#

Sire (male) Information:
Name *

Sire Owner/Co Owner Information

Sire Owners Full Name *

First Last

Sire Owners Phone # *

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

Sire Owner Email *

Sire Co Owners Full Name

First Last

Sire Co Owner Email

Sire Address

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

Sire Owner Signature *

Clear

Sire Co Owner Signature

Clear

UPLOAD AREA

UPLOAD

Signed Litter Registration Form

Please attach the SIGNED litter application with both the dam and sire owner's signatures

The form can be found on the website, this is to verify that both the dam and sire owner have given consent to the litter registration.

*If we do not have the sire signature your paperwork could be delayed.

Comment/Note Section

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.

PLEASE NOTE CURRENT PROCESSING TIME IS 10-12 WKS.

Domestic (USA Only)$30.00 plus $5.00 processing fee (Litters under 1 year)

Domestic (USA Only) $35.00 + $5.00 processing fee (Litters over 1 year)

International $40.00 + $5.00 processing fee

2 Day FedEx (USA only)+ $50.00

FedEx UK, Ireland, Canada +$80.00

FedEx Germany, Belgium, France, Netherlands, Spain, Portugal +80.00

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

Fedex fee for Bulgaria, Czechia, Romania, Poland, Serbia, Turkey +100..00

Fedex Australia + $135.00

****************UNITED STATES OF AMERICA CLIENTS ONLY**************

Premium Puppy Package Fees (Litter Fee + additional puppy fee) Presentation folders. Currently these can not be sent international. Please do not use if you are not a domestic client. If you order and you do not live in the US there will be a 5.00 refund fee added.

**Dam Owner/Co Owner Information**

**Litter Information**

** Sire Owner/Co Owner Information**

**UPLOAD AREA**

**FEES**

Dam Owner/Co Owner Information

Litter Information

Sire Owner/Co Owner Information

UPLOAD AREA

FEES