Breeder Registration Form - American Bull and Terrier Kennel Club

Name of Breeder (Kennel Name) *

Breed *

Additional Breed (if applicable) *

Please select the number of dogs you would like to register below: *

Registration Type *

All Silver (Printed Copy of Certificate of Registration) $15.00 each
All Gold (Printed Copy of Certificate of Registration with 4 Generation Pedigree) $30.00 each
All Platinum (Printed Copy of Certificate of Registration with 5 Generation Pedigree) $45.00 each
Multiple Registration Types (I will specify in the box below)

If you chose the option for multiple registration types please specify which types for which dogs.

Owner's Name *

First

Last

Phone Number *

Email *

Street Address *

City *

State *

Country *

Please choose one of the following options to send proof of existing breed registration (please do not send any original paperwork only copies) along with a front and side picture of dog, and payment if applicable (Must be check, cashier's check, or money order made payable to "American Bull and Terrier Kennel Club").

I will email proof of existing breed registration of parents and pictures of my dog to admin@abtkc.com (Please Include your first and last name in the subject) and mail payment (if applicable) to PO Box 6716 Glendale, AZ 85312.
I will mail proof of existing breed registration of parents, pictures of my dog, and payment to PO Box 6716 Glendale, AZ 85312.

Please list the name and phone number of any co-owners if applicable:

Additional Comments