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Duplicate Application Form
  • Application Agreement
  • Dog's Information
  • New Owner Information
    • Payment

    Duplicate Application Form

    AMERICAN DOG BREEDERS ASSOCIATION INC.

    Please do not use your browser’s “Back” button or “Forward” button while using this form. Instead, please use the “Back” or “Next” button at the bottom of the form, or click on the step numbers at the top of the form.
     
    The ADBA reserves the right to void these papers at any time in the event of fraudulent application and/or pure bred status contested by the ADBA Board of Directors.
    Please fill out this application to the best of your knowledge. Anything unknown please leave the space blank.
    I am requesting a duplicate copy because the original was:

    Original Owner/Breeder/Seller

    Owner as listed on the front of the dog's Registration Certificate at the time it was Lost, Stolen or Destroyed
    Original Owner/Breeder Name
    Original Owner/Breeder Name
    First
    Last
    Address
    Address
    City
    State/Province
    Zip/Postal
    Country
    Skip Seller Signature $10
    If the papers were lost before being transferred to the new owner we will need to verify the sale of the dog.