Single Dog Registration Application

Register now over the internet only $25.00

Get the Deluxe Certificate with Gold Seal for only $5.00 additional

Training Manuals!

Latest editions of the best selling Do It Right Series

Do It Right Psychology & Training

Fun with Fido

***NEW*** Training The Small Breed ***NEW***

CLICK HERE TO SEE THEM This will open a new window so you can come back to this form

Registration certificates MAILED to you via US Mail within 24 hours

Use your Mastercard, Visa or American Express Card

Please fill in ALL the Required boxes below

if you are missing information leave it blank

IMPORTANT READ THE CLASSIFICATION & REGISTRATION INFORMATION PAGES BEFORE FILLING OUT THIS FORM

If you having a problem with this form or have questions or call live line support at 516 942-4395

TO SEND PROOF OF BREED PHOTOS

Via E Mail

Do this when you register your dog

Email us at registra@optonline.net

include your name address phone # and your dogs name. Add as an attachment 2 jpeg images of your dog name them "my dogs name" side.jpeg & "my dogs name" head.jpeg

Example: If your dog is named BUNKY name jpegs bunkyside.jpeg & bunkyhead.jpeg

Via Regular Mail

Send to DRA PO Box 754 Plainview NY 11803

include your name address phone # and your dogs name. 2 photos of your dog with its name on the back. Certificate will be issued as soon as this is received

E-mail Us

IMPORTANT If the Breeder gave you an application and are copying from it place the large 6 diget # in the grey box that says reserved for DRA use only herePedigrees are available for dogs having this number if you want one please select Registration with Seal and Pedigree from Registration Options below and check this box

YOUR EMAIL ADDRESS: required

Dog's Name : required

Breed: required

Color : required

Sex: required

Date Of Birth: Please use this format MM/DD/YYYY EXAMPLE (O1/01/2002)

Sire (father) Name:

Sire Registration No:

Dam: (mother)

Dam Registration No:

Breeder Information:

Who owned the Parents of Your dog

Breeder first name:

Breeder last name:

Breeder Address:

Breeder City :

Breeder State:

Breeder Zip:

Breeder Area Code:

Breeder Phone No:


Registrant Information: your information

First name of Owner OR Owner& Co Owner: required (Example John or John & Mary )

Last name of Owner OR Owner & Co Owner: required (Example Smith or Smith & Jones )

Address Including APT or LOT#: required

City : required

State: required

Zip: required

Area Code: required

Phone No : required

For Security Purposes Re-Enter Your E-Mail: required

Photo Proof Select :

Payment Method Select required

 

Use This Format Include Spaces example 1234 5678 9101 5555

Credit Card# required

Exp Date required

Name On Card required

Registration Options Select required

Security Code required The security code helps protect you against fraud. Visa & MC last 3 digits on back of card. AmX 4 digits on front.

NEW Training Manuals. Latest editions of the best selling Do It Right Series

CLICK HERE TO SEE IT This will open a new window so you can come back to this form

Add these books to my registration order and shipping is FREE!

QuantityItem # DRA101 Do It Right Psychology & Training $19.99 ea plus $3.00 shipping Total $22.99

Quantity Item # DRA301 Small Breed Training $19.95 plus $3.00 shipping Total $22.95

QuantityItem # DRA201 Fun Wit Fido $16.99 ea plus $3.00 shippingTotal $18.99

 

FIREMAN SAVE MY DOG & CAT PET DECAL only $5.00 each with your registration order

CLICK HERE TO SEE IT this will open a new window so you can come back to this form

Quantity Item# DRAFD $5.00

If you have more dogs to register submit this form and come back to this page and start again


Register your LITTER over the web NOW

Register your KENNEL NAME or ORDER PRODUCTS over the web NOW

 

03/07
FAQS
Breeder Area
Advertise With Us
Dog Registration Application
Litter Registration Application
Video Champion.html
Kennel Registration Application
Forms & Supplies
If A Dog Was Your Teacher
Dog Club Info
Events Page
Home