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AMTC Puppy Application
This online application is for puppies obtained from an AMTC Breeder. You will need your Pre-Printed application the breeder gave you to complete this application.
Your Name
*
First Name
Middle Name
Last Name
Your Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Your Birthdate
*
-
Month
-
Day
Year
Date Picker Icon
Pre-Printed Application Number
*
Litter Application Number
Did the Breeder sign your Puppy Application?
*
Yes
No
I am the Breeder
Dog's Name limited to 30 characters including spaces and must consist of two words.
*
30 caracter limit
Birthdate of Puppy
*
-
Month
-
Day
Year
Date Picker Icon
Gender of Puppy
*
Exp: Male or Female
Male
Female
Exp: Male or Female
Breed of Puppy
*
Breed listed on your application
Color of Puppy
*
Color listed on back of application
Puppies Microchip Number
9, 10 or 15 digit number
Upload a current front facing photo of Puppy/Dog (if unable to upload photo - you will need to email photo to: amtcregistry@gmail.com) and include your name to email.
Browse Files
Drag and drop files here
Choose a file
Upload Front Facing Photo
Cancel
of
Sire (Father) of Puppy
*
Sire's Registered Name
Dam (Mother) of Puppy
*
Dam's Registered Name
Online PIN Code
*
Code in yellow box on back of application
Your Phone Number
*
-
Area Code
Phone Number
Your E-mail Address
*
example@example.com
I do herby certify that I am the owner of the canine described above and that all of the information provided by me is correct and true. I agree to abide by all AMTC® rules, regulations, and policies; also understand that I am responsible for all information contained herein. All applications and photos become the property of AMTC. AMTC reserves the right to refuse an application as well as correct or revoke any registration at any time.
*
I AGREE
REGISTRATION SERVICES
*
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Puppy Registration
Official Registration Certificate, 30-days AMTC Pet Insurance, enrollment in AMTC's AKC Pupdate - monthly newsletter.
$
20.00
Photo Registration
Official Registration Certificate with photo of puppy, 30-days AMTC Pet Insurance, and enrollment in AMTC's AKC Pupdate - monthly newsletter.
$
25.00
Registration Package 1
Official Registration Certificate w/photo of puppy, 30-days AMTC Pet Insurance, Puppy Guide Book, a Dog Art Tag, and enrollment in AMTC's AKC Pupdate - monthly newsletter.
$
37.99
Registration Package 2
Official Registration Certificate w/photo of puppy, 30-days AMTC Pet Insurance, Puppy Guide Book, enrollment in AMTC's AKC Pupdate - monthly newsletter, Certified Pedigree up to 3 generations, and Microchip with Lifetime enrollment.
$
69.99
Single Microchip
AMTC Microchip that includes: Lifetime Recovery enrollment & Implantation instructions.
$
25.99
Wild Knots Bear (small)
Kong wild knots bear.
$
6.99
Wild Knots Bear (large)
Kong wild knots bear
$
9.99
AMTC Dog Tag
500 Designs - design your own pet tag. Lifetime Guarantee. Offered to members only.
$
13.99
Welcome Pet Candle
13oz Pet Candle is the perfect gift for welcoming a new puppy/dog or just to enjoy! Surprise Scented Candle.
$
15.99
Priority Mail
Rush Mailing
$
9.95
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