CDC Dorset Advantage Online Registration Form

Continental Dorset Club Dorset Advantage Online Registration Form

This form is only to register new animals. Transfers or corrections to existing papers should be mailed to the CDC office.
Owner Name*

First NameLast Name
Owner*
(Owner of Dam at time of Birth)
Owner Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
YesNo
Breeder*
(NAME OF OWNER OF DAM AT THE TIME SHE WAS BRED)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Registration Information (Scroll right to view all information)*
WARNING ABOUT MAKING FALSE PEDIGREES OR TRANSFERS
The sending of a fraudulent application for registration, a fraudulent transfer, or a fraudulent certificate or pedigree through the U.S. mail with the intent to defraud, is a Federal offense, subject to prosecution by the U.S. Government and punishable by "fine of not more than thousand dollars
($1000) or imprisonment of not more than five years or both.

NOTICE: If animals have sold, give date of delivery, name and address of purchaser. REGISTRATION & TRANSFER FEES WILL APPLY
Signature*

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Special Instructions
YesNo
What date do you need your papers by?
Please note if this date is within 3 weeks of submitting this form, you will need to select Rush Service fees below.
Rush Service*
All work requested to be completed within 2 working days in the office is DOUBLE the normal fee. If paying online, the rush fee will automatically be reflected in your amount due.
How would you like to submit payment?*
No paperwork will be mailed until payment is received.
Certificate of Service or AI Certificate Upload

Cancelof
Please mail payment to:

Continental Dorset Club
P.O Box 186
Good Hope, IL 61438-0186

You can calculate your total using the Fee Schedule located on the CDC website. Please note payment must be received in advance.

Pay Online (Online service fee included in item cost)

Registrations

Online service fee of 4% included in price

$6.24

Age of Animal	Quantity	Price
Less than 1 year (Member)		$6.24
Over 1 year (Member)		$7.28
NON-MEMBER: Less than 1 year		$8.32
NON-MEMBER: Over 1 year		$9.36

Item subtotal:$0.00

Transfer Fees

Online service fee of 4% included in price. Any animal whose ownership is being transferred at the time of registration MUST also pay Transfer Fee.

$10.40

Days After Sale	Quantity	Price
< 60 Days After Sale		$10.40
> 60 Days After Sale		$15.60

Item subtotal:$0.00

Fees & Dues

Online service fee of 4% included in price. Lifetime & Youth Memberships are ONE-TIME fees. Annual Service Fee is due from Lifetime Members and Non-Members upon completion of the first paperwork in a calendar year. Youth Members are exempt from Annual Service Fees.

$20.80

Membership Type	Quantity	Price
Initial Membership Fee		$20.80
Annual Service Fee		$12.48
Youth Membership		$5.20

Item subtotal:$0.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Continental Dorset Club Dorset Advantage Online Registration Form