AHMPC Puppy Registration Application

Puppy Registration

This form is to be used to register a AHMPC registerable dog or puppy. Please use the puppy registration application given to you by your breeder as a guide to fill and submit the information needed to officially register your puppy with the AHMPC.
Puppy Information
Name of Dog to Be Registered
No more than 30 letters and spaces allowed. The registering owner has the right to name the dog. Please choose a unique name. Names are subject to AHMPC approval. AHMPC is not liable for registration of names that are not registerable without permission (i.e. breeder or kennel names).
Litter Registration Number
Include all Numbers and Letters
Breed
Date of Birth

MonthDayYear
Date
Gender
Color/Pattern
Microchip Number
Parent Information
Sire Name
Sire Registration Number
Dam Name
Dam Registration Number
Breeder / Litter Owner
Breeder / Litter Owner Name
Transfer Date

MonthDayYear
Date
New Owner Information

The dog may only be registered in one person's name.
New Owner's Name

First NameLast Name
New Owner's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
New Owner's Mailing Address

Street Address/PO Box

Street Address Line 2

CityState / Province

Postal / Zip Code
New Owner Email
example@example.com
New Owner Signature
Date Signed

MonthDayYear
Date
Registration Fees and Payments
Please Select One
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Limited Registration
Pet Only, No breeding rights.

Dog cannot produce AHMPC registerable offspring.

A 8.5 x 11 sturdy and frameable One Generation AHMPC Limited Registration Certificate will be post mailed with tracking services to the address submitted.

$25.00 Quantity

Full Registration
Breeding rights.

Dog may produce AHMPC registerable offspring.

A 8.5 x 11 sturdy and frameable Three Generation AHMPC pedigree will be post mailed with tracking services to the address submitted.

$35.00 Quantity

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

Puppy Registration

Puppy Information

Parent Information

Breeder / Litter Owner

New Owner Information

Registration Fees and Payments

Please Select One

Payment Methods