Club Membership

Prague Ratter Club Of America Welcomes You!

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Club Membership

Prague Ratter's Club of America Membership Application

Individual dogs may be registered by using this registration form. One form should be filled out for each dog or Kennel registered. Cost is $15.00 per dog. Name changes for registered dogs and change of ownership will incur an additional $15.00 each dog. Kennel registration had an additional one time fee of $25.00. Litter registration is $15.00 for the litter and can be registered using one form, but litter must be from a registered kennel. All applications must be accompanied with the pedigree generation information you have or a copy of your dogs pedigree may be emailed to mkboren@sbcglobal.net (be sure your name is on the emailed pedigree info) or fill out the Pedigree Information box below. Please make note of CMKU PK registration numbers of dogs listed for the pedigree if available. If additional information is needed you may email us mkboren@sbcglobal.net or call us 559-323-6664.
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Kennel Name/ Dog Owner/Applicant Information
Kennel Name: First Name: (Dog Owner)
Last Name: (Dog owner)
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Dog Co-Owner Information
First Name:
Last Name:
Contact Information
Daytime Phone:
Evening Phone:
Email:
Dogs Information
Dogs Name/ male or female	Male/Female
Birth date	mm/dd/yyyy
Birth Place	City, State, Country
Color
Father's Name Mothers Name	Owner: Owner:
Pedigree Information/ Additional Information
Pedigree:	Enter Pedigree information here with CMKU PK Registry numbers (if available)for each dog in the generation or you may email a copy of the pedigree to mkboren@sbcglobal.net Also, list additional information about the owners/ Kennel of the dog's mother and father that you have. Also, the original owner of your dog and the date you became the owner.
	Prague Ratters Club of America 1612 N. Pistachio Ave. Clovis, CA 93619

Other Information
	By checking this box I agree the information provided to Prague Ratter's Club of America is correct and wish to join the Prague Ratters Club of America. I understand membership will be completed when payment and pedigree information is received. Name changes for registered dogs and change of ownership will incur an additional $15.00 each dog. Kennel Registration has an additional one time $25.00 fee. I understand this club is not a registering authority such as FCI, UKC AKC or ARBA.

PLEASE PAY FOR YOUR REGISTRATION BELOW, THANKS!