REGISTER OF MERIT APPLICATION
Dog's name:____________________________________________
AKC number:_____________________________
Sex: M / F Coat: L / S / W Size: S / M
Owners Name:___________________________________________ Address:_______________________________________________ _______________________________________________ Phone: _____________________________
QUANTITATIVE REQUIREMENTS: Offsprings: 1. Name:___________________ Date championship completed:__________________ Date championship published: __________________
2. Name:____________________ Date championship completed:___________________ Date championship published: ___________________
3. Name:__________________________________ Date championship completed:___________________ Date championship published: ___________________ (continue on another page) QUALITATIVE REQUIREMENTS: 1. Name:_____________________________________ Award___________________ Date published_____________
2. Name:_____________________________________ Award___________________ Date published_____________
3. Name:______________________________________ Award___________________ Date published_____________ (continue on another page) Please note, if you cannot find any of this information, please contact Ann Wlodkowski or Joyce Warren and we will be glad to help you. Please print/type all names clearly. Applications that are not legible will be returned. Thank you.
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