Litter Registration Form - American Bull and Terrier Kennel Club

Name of Breeder (Kennel Name) *

Type of Litter Registration

Purebred Litter
Hybrid Litter

Name of Sire

Registration Number of Sire

Breed of Sire *

Name of Dam

Registration Number of Dam

Breed of Dam *

Please select the number of puppies confirmed *

Litter Registration Type *

Standard Litter Registration (Includes Official Forms for Puppy Registration for all Puppies) $30.00 Total
Gold Litter Registration (Includes Certificates of Registration with 4 Generation Pedigrees for up to 5 Puppies and Official Forms for Puppy Registration for the Remainder of the Litter) $100.00 Total (You may add additional Certificates of Registration with 4 Generation Pedigrees for $10.00 each by specifying in the box below)
Platinum Litter Registration (Includes Certificates of Registration with 4 Generation Pedigrees for up to 5 Puppies and Official Forms for Puppy Registration for the Remainder of the Litter) $150.00 Total(You may add additional Certificates of Registration with 4 Generation Pedigrees for $15.00 each by specifying in the box below)

If you would like to customize your choices from the above options then please explain below:

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 sire and dam, and payment (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 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, pictures of parents, and payment to PO Box 6716 Glendale, AZ 85312.

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

Additional Comments