Heritage Decker Terrier Registry        

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

                          Please Print

 UKC #______  AKC #______ UKCI # ________ 

Dog's Name: _______________________________ Must provide one of  the above #'s with a copy of said registration papers.
   Breed:              Decker Terrier     Birthdate:________________ NBT:  Y____N____
Color:             _______________________________     Owner __________________________________
   Sex:         Male__________  Female_________     Co-Owner _______________________________
        7      Breeder  ________________________________
Sire Name: _______________________________________  
 UKC# ______   AKC#_______  UKCI#________ if known                                   Mail to:
Dam Name: _______________________________________          Heritage Decker Terrier Registry
 UKC# ________   AKC#_________ UKCI#__________    if known         28 BriarBey Lane
           Fleming, Ohio 45729
  Owner: __________________________________   Print and send to above address with check or money order.
   Address: ________________________________        
   City:   ___________________________________      Signature of Registering owner/co-owner
Zip Code: __________________

e-mail:  _________________________________

  x __________________________________
Phone: ______________________                                 Cell:________________________  x __________________________________
  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.

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