"Litter Application"

Independent Breeders Dog Registry
P.O. Box 39
Albany, Ok 74721

(580) 847-9277
abby@ibdr.org

Litter Registration Fee:  Send $1 per puppy to be registered. Send Cash, Check,
Money Order...Please Print...Quick return on puppy papers!

Breed___________________________________________________________________

Number of Males_____________________Number of Females_____________________

Date of Birth___________________________ Are these puppies purebred?    Yes    No

Sire (Father)_____________________________IBDR#___________________________

Owner_______________________________Address____________________________

City________________________________State_________________Zip____________

Phone Number________________________EMail______________________________

Dam (Mother)____________________________IBDR#___________________________

Owner______________________________Address_____________________________

City_______________________________State_________________Zip_____________

Phone Number_______________________EMail_______________________________

Signatures: Sire Owner_____________________Dam Owner____________________
Send Puppy Papers To:                                                                                                       

Name__________________________________________________________________

Address________________________________________________________________

City_______________________________State________________Zip______________

Phone Number_______________________EMail (Optional)______________________

Website  (Optional) ______________________________________________________
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