Online Decker Registration

REGISTRATION WITH Heritage Decker Terrier Registry

SUBMIT COPIES OF ONE / UKC or UKCI or AKC REGISTRATION PAPERS with a check for $20.00 per dog.

                  Application to register your currently owned Decker Terrier with Heritage Decker Terrier Registry

Date:   NBT- Y/N

                                            Must provide one of following reg.#'s with a copy of said registration papers.

   AKC #

UKC#

                      UKCI#

Dog's Name:

       Birthdate:

           Color:

       Male:          Female:

    Owner:

Co-Owner:

           V

Breeder:

   Sire Name:

              AKC#                          UKC#                          UKCI#

Dam Name:

              AKC#                          UKC#                           UKCI#

Owner Signature:                                                 Co-Owner Signature:

X________________________________ X     ______________________________________

Address:                       Address:

City:                               City:

                  Zipcode:                                                  Zipcode:

   e-mail:                           e-mail:

Phone:                                               Phone:



                                                                    Mail to:

                                               Heritage Decker Terrier Registry

                                                          28 BriarBey Lane

                                                       Fleming, Ohio 45729

                                       Please print and send to above address with check or money order

      Heritage Decker Terrier Registry reserves the right to refuse, reject, cancel and/or re-record any registration, transfer or any application.

We also reserve the right to change any and all rules, fees, applications, certificates, procedures, information or instructions at any time and without notice. No refunds, exchanges or returns. All applications submitted become the property of Heritage Decker Terrier Registry.

Comments:

Application to register your currently owned Decker Terrier with Heritage Decker Terrier Registry Date: NBT- Y/N
Must provide one of following reg.#'s with a copy of said registration papers.
AKC #	UKC#		UKCI#
Dog's Name:		Birthdate:
Color:		Male: Female:
Owner:		Co-Owner:
V		Breeder:
Sire Name:
AKC# UKC# UKCI#

Dam Name:
AKC# UKC# UKCI#

Owner Signature: Co-Owner Signature:
X________________________________ X ______________________________________
Address: Address:
City: City:
Zipcode: Zipcode:
e-mail: e-mail:
Phone: Phone:

Mail to:
Heritage Decker Terrier Registry
28 BriarBey Lane
Fleming, Ohio 45729
Please print and send to above address with check or money order
Heritage Decker Terrier Registry reserves the right to refuse, reject, cancel and/or re-record any registration, transfer or any application. We also reserve the right to change any and all rules, fees, applications, certificates, procedures, information or instructions at any time and without notice. No refunds, exchanges or returns. All applications submitted become the property of Heritage Decker Terrier Registry.