SUBMIT
YOUR LITTER APPLICATION
CONGRATULATIONS
ON YOUR NEW LITTER!
On this page, you will find
the copy & paste information needed
to submit your litter applications.
For each registration application requested...
You will receive the following:
One registration application
for each puppy in the litter.
One NAPCB self addressed envelope
for each puppy in the litter
for your customer to use to mail the
application back to us
to order their official registration
certificate.
One NAPCB Stars & Stripes Pencil for
each puppy in the litter
to be given with each application as
a thank you gift.
PLEASE COPY &
PASTE
THE FOLLOWING QUESTIONS
INTO AN EMAIL,
ANSWER THE QUESTIONS
AND EMAIL TO US
*Please note...
If you are submitting
more than one litter application,
there is no need
to submit the information in red
on additional
applications.
Your name will be sufficient.
NAME OF BREEDER
CITY
STATE
ZIP
EMAIL ADDRESS
PHONE NUMBER
ARE YOU A REGISTERED BREEDER?
WHAT IS YOUR BREEDER ID NUMBER?
KENNEL NAME
LITTER ONE
NAME OF DAM
BREED
COLOR
REGISTRATION NUMBER
OF DAM
NAME OF SIRE
BREED
COLOR
REGISTRATION NUMBER
OF SIRE
DO YOU OWN THE SIRE?
IF YOUR ANSWER WAS
NO...
WHO IS THE OWNER
OF THE SIRE?
WHAT GENERATION
IS THIS LITTER?
DATE OF BIRTH
NUMBER OF LIVING FEMALES
NUMBER OF LIVING
MALES
WILL YOU BE PAYING BY PAYPAL OR BY CHECK?
LITTER TWO
NAME OF DAM
BREED
COLOR
REGISTRATION NUMBER
OF DAM
NAME OF SIRE
BREED
COLOR
REGISTRATION NUMBER
OF SIRE
DO YOU OWN THE SIRE?
IF YOUR ANSWER WAS
NO...
WHO IS THE OWNER
OF THE SIRE?
WHAT GENERATION
IS THIS LITTER?
DATE OF BIRTH
NUMBER OF LIVING FEMALES
NUMBER OF LIVING
MALES
WILL YOU BE PAYING BY PAYPAL OR BY CHECK?
LITTER THREE
NAME OF DAM
BREED
COLOR
REGISTRATION NUMBER
OF DAM
NAME OF SIRE
BREED
COLOR
REGISTRATION NUMBER
OF SIRE
DO YOU OWN THE SIRE?
IF YOUR ANSWER WAS
NO...
WHO IS THE OWNER
OF THE SIRE?
WHAT GENERATION
IS THIS LITTER?
DATE OF BIRTH
NUMBER OF LIVING FEMALES
NUMBER OF LIVING
MALES
WILL YOU BE PAYING
BY PAYPAL OR BY CHECK?
Please Email Your
Applications To
napcb@pathway.net
PLEASE CLICK ON
THE PAYPAL BANNER BELOW
TO SUBMIT YOUR
PAYMENT OF $15.00
FOR EACH
LITTER APPLICATION SUBMITTED
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