AHMPC Litter Registration Application

Litter Registration Application

This form is for the registration of new AHMPC litters. Please refer to the Litter Registration policies before submitting a litter registration application.
Litter Information
Date of Birth

MonthDayYear
Date
Total Number of Pups Born
Total Number of Living Pups - Males
Total Number of Living Pups - Females
Sire Information
Sire’s Registered Name
Sire’s AHMPC Registration Number
Dam Information
Dam’s Registered Name
Dam’s AHMPC Registration Number
Section A: Litter Owner Certifications
Litter Owner Certification Statement
Dam Owner’s Printed Name

First NameLast Name
Dam Owner’s Mailing Address

Street Address/PO Box

Street Address Line 2
CityState / ProvincePostal / Zip Code
Dam Owner’s Physical Address (if different from mailing)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Dam Owner's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Dam Owner's AHMPC Breeder ID Number
Dam Owner's Email Address
Litter Owner's Signature (Owner of Dam)
Litter Owner's Signature Date

MonthDayYear
Date
Section B: Sire Owner (if different from Section A)
Sire Owner Printed Name

First NameMiddle NameLast Name
Sire Owner Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Sire Owner AHMPC Breeder ID Number (if applicable)
Sire Owner Mailing Address

Street Address/PO Box

Street Address Line 2
CityState / ProvincePostal / Zip Code
Sire Owner Physical Address (if different)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Individual Puppy Details
Puppy # 1
Microchip # (if available)
Gender
Color
Pattern
Pup 1 Registration Status
If Limited Registration is chosen. Please select reason below:
Pup 1 Pre-Register Pup with AHMPC?
Puppy # 2
Microchip # (if available)
Gender
Color
Pattern
Registration Status
If Limited Registration is chosen. Please select reason below:
Pup 2 Pre-Register Pup with AHMPC?
Puppy # 3
Microchip # (if available)
Gender
Color
Pattern
Registration Status
If Limited Registration is chosen. Please select reason below:
Pup 3 Pre-Register Pup with AHMPC?
Puppy # 4
Microchip # (if available)
Gender
Color
Pattern
Registration Status
If Limited Registration is chosen. Please select reason below:
Pup 4 Pre-Register Pup with AHMPC?
Puppy # 5
Microchip # (if available)
Gender
Color
Pattern
Registration Status
If Limited Registration is chosen. Please select reason below:
Pup 5 Pre-Register Pup with AHMPC?
Puppy # 6
Microchip # (if available)
Gender
Color
Pattern
Registration Status
Pup 6 Pre-Register Pup with AHMPC?
Advanced Registration
Puppy # 7
Microchip # (if available)
Gender
Color
Pattern
Registration Status
If Limited Registration is chosen. Please select reason below:
Pup 7 Pre-Register Pup with AHMPC
Puppy # 8
Microchip # (if available)
Gender
Color
Pattern
Registration Status
If Limited Registration is chosen. Please select reason below:
Pup 8 Pre-Register Pup with AHMPC?
Puppy # 8
Microchip # (if available)
Gender
Color
Pattern
Registration Status
Registration Fees and Payments
Please Select One
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AHMPC Litter Registration (E-Documents)
Litter owner will recieve a email with the individual puppy applications to be printed and given to puppy buyers

$25.00 Quantity



AHMPC Litter Registration (Postal Mailed Documents)
Litter owner will receive individual puppy applications by mail with tracking services.

$35.00 Quantity



AHMPC Advanced Registration with 1 Puppy
Litter owner will receive ONE Litter Certificate for the designated pre-registered puppy PLUS individual applications for remaining pups in the litter by mail with tracking services.

$45.00 Quantity



AHMPC Advanced Registration with 2 Puppies
Litter owner will receive TWO Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for remaining pups in the litter by mail with tracking services.

$65.00 Quantity



AHMPC Advanced Registration with 3 Puppies
Litter owner will receive THREE Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for remaining pups in the litter by mail with tracking services.

$85.00 Quantity



AHMPC Advanced Registration with 4 Puppies
Litter owner will receive FOUR Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for remaining pups in the litter by mail with tracking services.

$105.00 Quantity



AHMPC Advanced Registration with 5 Puppies
Litter owner will receive FIVE Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for any remaining pups in the litter by mail with tracking services.

$125.00 Quantity



AHMPC Advanced Registration with 6 Puppies
Litter owner will receive SIX Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for any remaining pups in the litter by mail with tracking services.

$145.00 Quantity



AHMPC Advanced Registration with 7 Puppies
Litter owner will receive SEVEN Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for any remaining pups in the litter by mail with tracking services.

$165.00 Quantity



AHMPC Advanced Registration with 8 Puppies
Litter owner will receive EIGHT Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for any remaining pups in the litter by mail with tracking services.

$185.00 Quantity



AHMPC Advanced Registration with 9 Puppies
Litter owner will receive NINE Litter Certificates for the designated pre-registered puppies PLUS individual puppy applications for any remaining pups in the litter by mail with tracking services.

$205.00 Quantity



Total

$0.00
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Contact Info

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Litter Registration Application

Litter Information

Sire Information

Dam Information

Section A: Litter Owner Certifications

Section B: Sire Owner (if different from Section A)

Individual Puppy Details

Puppy # 1

Puppy # 2

Puppy # 3

Puppy # 4

Puppy # 5

Puppy # 6

Puppy # 7

Puppy # 8

Puppy # 8

Registration Fees and Payments

Please Select One

Payment Methods