Online Pedigree Purchases Please enable JavaScript in your browser to complete this form.Kennel Name Desired: *Example: Rio Bravo BulldoggesApproved Kennel Name Abbreviation: *Example: Rio Bravo Bulldogges could be - Rio Bravo's Second Choice: (if 1st choice is unavailable)Second Choice Approved Kennel Name Abbreviation: Kennel Website / URLExample: www.your.domain.com or your Face Book page.Breed of Dog / Dogs *American BulldogAmerican BullyAlapaha Blue Blood BulldogAmerican Pit Bull TerrierBantam BulldoggeBanter BulldoggeCampeiro BulldogEnglish BulldogFrench BulldogOlde Boston BulldoggeOlde English BulldoggeValley BulldogOwner's Information:Name of Owner: *FirstLastName of Co-Owner: (optional)FirstLastPrimary Owner's Phone Number: *Co-Owner's Phone Number:Primary Owner's Email:EmailConfirm EmailPrimary Owner's Address:Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryCommentsSelect Your Choices:Kennel Registration Options:New - IOEBA Kennel Registration (4 yrs) - includes certified registration certificate......$130Renewal - IOEBA Kennel Registration (3 yrs) - includes certified registration certificate......$80New - Dual United Canine Association Kennel Registration (4 yrs) - (www.ucadogs.com)......$100Laminate IOEBA Certificate (plus registration fee)......$8Laminate UCA Certificate (plus registration fee)......$8Additional Options:IOEBA Auto Decal......$10Processing and Mailing Options:Standard Processing......$0RUSH Processing (5 business days)......$15SUPER RUSH Processing (3 business days)......$20Standard Mailing......$0Overseas/Canadian Mailing......$5"Processing" refers to the in-house processing time, this does not include the delivery time required by the postal service.Total$0.00Debit / Credit Card For Payment: *Master CardVisaDiscoverSelect Type of CardName on the Debit / Credit Card *FirstLastDebit / Credit Card Number: *Expiration Date: *Card Verification Code (CVC): *3 digits on the back of the card.EmailSubmit
