AHMPC Litter Registration Application

Litter Registration Application

This form is for the registration of new AHMPC litters. Please refer to the Litter Registration policies before submitting a litter registration application.
Litter Information
Date of Birth

MonthDayYear
Date
Total Number of Pups Born
Total Number of Living Pups - Males
Total Number of Living Pups - Females
Sire Information
Sire’s Registered Name
Sire’s AHMPC Registration Number
Dam Information
Dam’s Registered Name
Dam’s AHMPC Registration Number
Section A: Litter Owner Certifications and Information
Litter Owner Certification Statement
Dam Owner’s Name

First NameLast Name
Dam Owner’s Mailing Address

Mailing Address/PO Box

Physical Address (if PO Box above)
CityState / ProvincePostal / Zip Code
Dam Owner's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Dam Owner's AHMPC Breeder ID Number
Dam Owner's Email Address
Litter Owner's Signature (Owner of Dam)
Litter Owner's Signature Date

MonthDayYear
Date
Section B: Sire Owner
- Sire Owner Name
  
  First NameLast Name
- Sire Owner Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Sire Owner AHMPC Breeder ID Number (if applicable)
- Sire Owner Address
  
  Mailing Address/PO Box
  
  Physical Address (if PO Box above)
  CityState / ProvincePostal / Zip Code
- Email
  example@example.com
- Individual Puppy Details
- Microchip # (if available)
  *Microchip required if advanced registration is selected
- Gender
- Color
- Pattern
- Pup 1 Registration Status
- If Limited Registration is chosen. Please select reason below:
- Pup 1 Pre-Register Pup with AHMPC?
- Microchip # (if available)
  *Microchip required if advanced registration is selected
- Gender
- Color
- Pattern
- Registration Status
- If Limited Registration is chosen. Please select reason below:
- Pup 2 Pre-Register Pup with AHMPC?
- Microchip # (if available)
  *Microchip required if advanced registration is selected
- Gender
- Color
- Pattern
- Registration Status
- If Limited Registration is chosen. Please select reason below:
- Pup 3 Pre-Register Pup with AHMPC?
- Microchip # (if available)
  *Microchip required if advanced registration is selected
- Gender
- Color
- Pattern
- Registration Status
- If Limited Registration is chosen. Please select reason below:
- Pup 4 Pre-Register Pup with AHMPC?
- Microchip # (if available)
  *Microchip required if advanced registration is selected
- Gender
- Color
- Pattern
- Registration Status
- If Limited Registration is chosen. Please select reason below:
- Pup 5 Pre-Register Pup with AHMPC?
- Microchip # (if available)
  *Microchip required if advanced registration is selected
- Gender
- Color
- Pattern
- Registration Status
- Pup 6 Pre-Register Pup with AHMPC?
  Advanced Registration
- Microchip # (if available)
  *Microchip required if advanced registration is selected
- Gender
- Color
- Pattern
- Registration Status
- If Limited Registration is chosen. Please select reason below:
- Pup 7 Pre-Register Pup with AHMPC
- Microchip # (if available)
  *Microchip required if advanced registration is selected
- Gender
- Color
- Pattern
- Registration Status
- If Limited Registration is chosen. Please select reason below:
- Pup 8 Pre-Register Pup with AHMPC?
- Microchip # (if available)
  *Microchip required if advanced registration is selected
- Gender
- Color
- Pattern
- Registration Status
- Registration Fees and Payments
- Please Select One
  Categories:All
  
  All
  
  Standard Registration
  
  Advanced Registration
  
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  Standard Registration
  
  AHMPC Litter Registration (E-Documents)
  Litter owner will recieve a email with the individual puppy applications to be printed and given to puppy buyers
  
  $25.00
  
  
  
  AHMPC Litter Registration (Postal Mailed Documents)
  Litter owner will receive individual puppy applications by mail with tracking services.
  
  $35.00
  
  
  
  Advanced Registration
  
  AHMPC Advanced Registration with 1 Puppy
  Litter owner will receive ONE Litter Certificate for the designated pre-registered puppy PLUS individual applications for remaining pups in the litter by mail with tracking services.
  
  $45.00
  
  
  
  AHMPC Advanced Registration with 2 Puppies
  Litter owner will receive TWO Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for remaining pups in the litter by mail with tracking services.
  
  $65.00
  
  
  
  AHMPC Advanced Registration with 3 Puppies
  Litter owner will receive THREE Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for remaining pups in the litter by mail with tracking services.
  
  $85.00
  
  
  
  AHMPC Advanced Registration with 4 Puppies
  Litter owner will receive FOUR Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for remaining pups in the litter by mail with tracking services.
  
  $105.00
  
  
  
  AHMPC Advanced Registration with 5 Puppies
  Litter owner will receive FIVE Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for any remaining pups in the litter by mail with tracking services.
  
  $125.00
  
  
  
  AHMPC Advanced Registration with 6 Puppies
  Litter owner will receive SIX Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for any remaining pups in the litter by mail with tracking services.
  
  $145.00
  
  
  
  AHMPC Advanced Registration with 7 Puppies
  Litter owner will receive SEVEN Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for any remaining pups in the litter by mail with tracking services.
  
  $165.00
  
  
  
  AHMPC Advanced Registration with 8 Puppies
  Litter owner will receive EIGHT Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for any remaining pups in the litter by mail with tracking services.
  
  $185.00
  
  
  
  AHMPC Advanced Registration with 9 Puppies
  Litter owner will receive NINE Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for any remaining pups in the litter by mail with tracking services.
  
  $205.00
  
  
  
  Total
  
  $0.00
- Payment Methods
  
  Fastlane Checkout
  
  Choose from one of the PayPal options to make your payment.
  
  Contact Info
  
  Payment Info
  
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Litter Registration Application

Litter Information

Sire Information

Dam Information

Section A: Litter Owner Certifications and Information

Section B: Sire Owner

Individual Puppy Details

Registration Fees and Payments

Please Select One*

Payment Methods

Please Select One